is a Surgery in Bristol, Tennessee. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1285746719. The last update date is .
's current location address is 350 Blountville Hwy, Bristol, Tennessee. You can contact this provider via phone number 4238446120. The mailing address for is 350 Blountville Hwy, Bristol, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 350 Blountville Hwy, Bristol, Tennessee |
| Phone Number | 4238446120 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1285746719 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 350 Blountville Hwy |
|---|---|
| City | Bristol |
| State | Tennessee (TN) |
| Post Code | 376200213 |
| Phone Number | 4238446120 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD36833 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3723582 | TN | -- |
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