Provider Demographics
NPI:1538450408
Name:AIMUA, FAITH A (MD)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:A
Last Name:AIMUA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FAITH
Other - Middle Name:A
Other - Last Name:EROMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4358
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37602-4358
Mailing Address - Country:US
Mailing Address - Phone:423-913-4188
Mailing Address - Fax:423-788-3588
Practice Address - Street 1:206 PRINCETON RD STE 18
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2025
Practice Address - Country:US
Practice Address - Phone:423-631-0024
Practice Address - Fax:423-631-0047
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000466032084P0800X
VA01012505882084P0800X
TN466032084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry