Hjp | |
520 Bluff City Hwy Bristol TN 37620-4606 | |
(423) 968-2895 | |
Not Available |
Full Name | Hjp |
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Speciality | Internal Medicine |
Location | 520 Bluff City Hwy, Bristol, Tennessee |
Authorized Official Name and Position | Bradley Deal (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 4239682895 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hjp 520 Bluff City Hwy Bristol TN 37620-4606 Ph: () - | Hjp 520 Bluff City Hwy Bristol TN 37620-4606 Ph: (423) 968-2895 |
NPI Number | 1447930797 |
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Provider Enumeration Date | 07/21/2023 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 2365896230 |
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Medicare Enrollment ID | O20230926002468 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447930797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John W Mann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104811694 PECOS PAC ID: 6204818032 Enrollment ID: I20080918000411 |
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