Individual provider · Type 1 NPI

Jake Sides

Surgery Physician · Bristol, TN

NPI number 1003279662 Active

Practice location

1 Medical Park Blvd Ste 250W
Bristol, TN 37620-7431

Call (423) 844-6620 Map

Fax (423) 844-6626

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Other practice locations

  • 594 Radio Hill Rd, Marion, VA 24354-4224 · (423) 844-6620

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X0101275797 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgery Physician Primary 208600000X63286 (TN)

Surgery Physician: 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 increasin…

7 other providers at this address

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About NPI 1003279662

Jake Sides's National Provider Identifier is 1003279662, issued on Mar 31, 2016. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Bristol, TN. The record was last updated on Jul 3, 2024.