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Reid Usedom
Student in an Organized Health Care Education/Training Program in Bristol, Tennessee
NPI 1952832107

Reid Usedom is a Student in an Organized Health Care Education/Training Program based in Johnson City, TN. Reid Usedom practices in Bristol, TN. The NPI Number for Reid Usedom is 1952832107 and holds a License No. 2019-01631 (Tennessee).

The current practice location address for Reid Usedom is 208 Medical Park Blvd, Bristol, TN and can be reached out via phone at 423-989-4050 and via fax at 423-990-3044.

Location: 208 Medical Park Blvd, Bristol, TN, 37614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952832107
Provider Name
Reid Usedom
Credential
Provider Entity Type
Individual
Gender
Male
Address
208 Medical Park Blvd, Bristol, TN, 37614
Phone Number
423-989-4050
Fax Number
423-990-3044
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
208 Medical Park Blvd
City
Bristol
State
Tennessee
Zip
37620-7343
Phone Number
423-989-4050
Fax Number
423-990-3044
person
Provider Business Mailing Address Details
Address
208 Medical Park Blvd
City
Bristol
State
Tennessee
Zip
37620-7343
Phone Number
423-989-4050
Fax Number
423-990-3044
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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.
2019-01631 (North Carolina)
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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