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Bishofberger Medical Associates Of East Tennessee
Medical Specialty Clinic/Center in Jellico, Tennessee
NPI 1649442237

Bishofberger Medical Associates Of East Tennessee is a Medical Specialty Clinic/Center based in Chicago, TN and is specialized in Medical Specialty. Bishofberger Medical Associates Of East Tennessee practices in Jellico, TN. The NPI Number for Bishofberger Medical Associates Of East Tennessee is 1649442237 and holds a License No. 41757 (Tennessee).

The current practice location address for Bishofberger Medical Associates Of East Tennessee is 188 Hospital Ln, Jellico, TN and can be reached out via phone at 423-784-1300 and via fax at 423-784-1420.

Location: 188 Hospital Ln, Jellico, TN, 60686-0013
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649442237
Provider Name
Bishofberger Medical Associates Of East Tennessee
Credential
Provider Entity Type
Organization
Address
188 Hospital Ln, Jellico, TN, 60686-0013
Phone Number
423-784-1300
Fax Number
423-784-1420
Provider Enumeration Date
03/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174681639 01 MEDICARE RAILROAD CARRIER -GROUP MEMBER NPI
DQ1434 01 MEDICARE RAILROAD CARRIER -GROUP PTAN
P00817876 01 MEDICARE RAILROAD CARRIER -GROUP MEMBER PTAN
1649442237 01 MEDICARE RAILROAD CARRIER -GROUP NPI
41757 01 TN TN LICENSURE
4177360 01 TN BLUECROSS BLUESHIELD OF TENN
institution
Provider Business Practice Location Address Details
Address
188 Hospital Ln
City
Jellico
State
Tennessee
Zip
37762-4400
Phone Number
423-784-1300
Fax Number
423-784-1420
person
Provider Business Mailing Address Details
Address
188 Hospital Ln
City
Jellico
State
Tennessee
Zip
37762-4400
Phone Number
423-784-1300
Fax Number
423-784-1420
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
41757 (Tennessee)
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
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
41757 (Tennessee)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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