Wesley V Eastridge in Kingsport - Family Medicine

Wesley V Eastridge - NPI 1457313439

Wesley V Eastridge is a Family Medicine in Kingsport, Tennessee. Wesley V Eastridge practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Wesley V Eastridge is 1457313439. The last update date is 2023-09-21.

Wesley V Eastridge's current location address is 1233 Radcliffe Ave, Kingsport, Tennessee. You can contact this provider via phone number 4235028656. The mailing address for Wesley V Eastridge is 1233 Radcliffe Ave, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley V Eastridge
Address 1233 Radcliffe Ave, Kingsport, Tennessee
Phone Number 4235028656
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1457313439
Provider Enumeration Date 2006-04-05
Last Updated Date 2023-09-21

Provider Mailing Address Detail

Address 1233 Radcliffe Ave
City Kingsport
State Tennessee (TN)
Post Code 376642027
Phone Number 4235028656
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 101037010
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4046651 TN --
107277 TN BLUE CROSS OF TENNESSEE
274021 BLACK LUNG
37070 VA ANTHEM BLUE CROSS
2622550 CIGNA
5609879 VA --
4581788 AETNA
37073 VA ANTHEM BLUE CROSS
621584391 TRICARE
4401019 TN --

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FAQs about Wesley V Eastridge

What is the unique 10-digit identification code assigned to Wesley V Eastridge by the Centers for Medicare & Medicaid Services?

The Wesley V Eastridge has been issued the NPI (National Provider Identifier) 1457313439, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Wesley V Eastridge's facilities are situated?

The facilities of Wesley V Eastridge are physically located at the following address: 1233 Radcliffe Ave, Kingsport, TN, 376642027.

What is Wesley V Eastridge's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wesley V Eastridge is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

When did the Wesley V Eastridge receive its 1457313439?

The Wesley V Eastridge was issued its 1457313439 on 2006-04-05, which is the date when the organization was assigned this unique identifier.

When was the information regarding Wesley V Eastridge, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wesley V Eastridge, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-09-21.

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