Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Living Water Vein Institute, PC

Organization Cardiovascular Disease Physician · NPI 1134782170

Living Water Vein Institute, PC is a Cardiovascular Disease Physician in Johnson City, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2800 Peoples St Ste 80
Johnson City, TN 37604-4158
Phone: (423) 631-0101
Fax: (423) 328-9027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1134782170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Berry — Medical Director · (423) 631-0101
NPI enumeratedApril 16, 2019
Last updated in NPPESAugust 19, 2019
Mailing address2800 Peoples St Ste 80, Johnson City, TN 37604-4158

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