institution
East Tennessee Vascular Center, Pllc
Vascular Surgery Physician in Morristown, Tennessee
NPI 1508879719

East Tennessee Vascular Center, Pllc is a Vascular Surgery Physician based in Morristown, TN and is specialized in Vascular Surgery. East Tennessee Vascular Center, Pllc practices in Morristown, TN. The NPI Number for East Tennessee Vascular Center, Pllc is 1508879719 and holds a License No. MD35881 (Tennessee).

The current practice location address for East Tennessee Vascular Center, Pllc is 1125 W 1St North St, Morristown, TN and can be reached out via phone at 423-317-6560 and via fax at 423-317-6570.

Location: 1125 W 1St North St, Morristown, TN, 37816-1855
institution
Provider Profile Details
NPI Number
1508879719
Provider Name
East Tennessee Vascular Center, Pllc
Credential
Provider Entity Type
Organization
Address
1125 W 1St North St, Morristown, TN, 37816-1855
Phone Number
423-317-6560
Fax Number
423-317-6570
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114909538 01 TN INDIVIDUAL NPI
3723200 05 TN
1639178932 01 TN INDIVIDUAL NPI
4075540 01 TN BLUE CROSS BLUE SHIELD
P00122001 01 TN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1125 W 1St North St
City
State
Zip
37814-4562
Phone Number
423-317-6560
Fax Number
423-317-6570
person
Provider Business Mailing Address Details
Address
1125 W 1St North St
City
State
Zip
37814-4562
Phone Number
423-317-6560
Fax Number
423-317-6570
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
MD35881 (Tennessee)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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