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Surgery Physician

NPI: 1003279662IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgery

Code: 208600000X

0101275797(VA)63286(TN)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

PrimaryGENERAL SURGERY

Education

OTHER

Class of 2016

Contact & Hours

Via practice · 2 locations total

Address
1 MEDICAL PARK BLVD STE 250W
BRISTOL, TN 37620

Quick Facts

NPI
1003279662
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
2
Years in Practice
10

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