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Jake Sides
Surgery Physician in Bristol, Tennessee
NPI 1003279662

Jake Sides is a Surgery Physician based in Johnson City, TN. Jake Sides practices in Bristol, TN. The NPI Number for Jake Sides is 1003279662 and holds a License No. 0101275797 (Tennessee).

The current practice location address for Jake Sides is 1 Medical Park Blvd Ste 250W, Bristol, TN and can be reached out via phone at 423-844-6620 and via fax at 423-844-6626.

Location: 1 Medical Park Blvd Ste 250W, Bristol, TN, 37604-2192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003279662
Provider Name
Jake Sides
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Park Blvd Ste 250W, Bristol, TN, 37604-2192
Phone Number
423-844-6620
Fax Number
423-844-6626
Provider Enumeration Date
03/31/2016
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Park Blvd Ste 250W
City
Bristol
State
Tennessee
Zip
37620-7431
Phone Number
423-844-6620
Fax Number
423-844-6626
person
Provider Business Mailing Address Details
Address
1 Medical Park Blvd Ste 250W
City
Bristol
State
Tennessee
Zip
37620-7431
Phone Number
423-844-6620
Fax Number
423-844-6626
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
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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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0101275797 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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