John D. Creasy in Bristol - Diagnostic Radiology

John D. Creasy - NPI 1124029244

John D. Creasy is a Diagnostic Radiology in Bristol, Tennessee. John D. Creasy practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for John D. Creasy is 1124029244. The last update date is 2007-07-08.

John D. Creasy's current location address is 3053 W State St, Bristol, Tennessee. You can contact this provider via phone number 4239681144 and fax number 4239683453. The mailing address for John D. Creasy is 3053 W State St, Bristol, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name John D. Creasy
Address 3053 W State St, Bristol, Tennessee
Phone Number 4239681144
Fax Number 4239683453
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1124029244
Provider Enumeration Date 2005-08-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3053 W State St
City Bristol
State Tennessee (TN)
Post Code 376201720
Phone Number 4239681144
Fax Number 4239683453

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 31555
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
64008402 KY --
3140729 TN BCBS
R06903 TN JOHN DEERE
3844447 TN --
7205066 VA --

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FAQs about John D. Creasy

What is the unique 10-digit identifier code assigned to John D. Creasy by the Centers for Medicare & Medicaid Services?

The John D. Creasy has been issued the NPI (National Provider Identifier) 1124029244 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the John D. Creasy's physical address?

The John D. Creasy is physically located at 3053 W State St, in the city of Bristol, TN, with the postal code 376201720.

What is the area of specialization for John D. Creasy, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John D. Creasy is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

When was the John D. Creasy's 1124029244 issued?

The John D. Creasy's 1124029244 was issued on 2005-08-10.

When was the John D. Creasy's information last updated?

The John D. Creasy's information was last updated on 2007-07-08.

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