Organization · Type 2 NPI
East Tennessee Vascular Center, PLLC
Vascular Surgery Physician · Morristown, TN
NPI number
1508879719
Active
Practice location
1125 W 1st North St, Ste. B
Morristown, TN 37814-4562
Fax (423) 317-6570
Mailing address
PO Box 1855
Morristown, TN 37816-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | MD35881 (TN) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
About NPI 1508879719
East Tennessee Vascular Center, PLLC's National Provider Identifier is 1508879719, issued on Aug 15, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Morristown, TN. The record was last updated on Sep 29, 2011.