Organization · Type 2 NPI

Bishofberger Medical Associates of East Tennessee

Medical Specialty Clinic/Center · Jellico, TN

NPI number 1649442237 Active

Practice location

188 Hospital Ln
Jellico, TN 37762-4400

Fax (423) 784-1420

Mailing address

1381 Reliable Pkwy
Chicago, IL 60686-0013

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X41757 (TN)
Medical Specialty Clinic/Center Primary 261QM2500X41757 (TN)

Medical Specialty Clinic/Center: 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).

28 other providers at this address

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About NPI 1649442237

Bishofberger Medical Associates of East Tennessee's National Provider Identifier is 1649442237, issued on Mar 24, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Jellico, TN. The record was last updated on Dec 1, 2011.