Carol A Dewey

NPI 1063552461 - Family Medicine - 207Q00000X

NPI Details
NPI 1063552461
Enumeration Date 02/07/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name CAROL ANN CAROL
Position OWNER
Phone (423) 968-4444
Fax
Practice Location
522 ALABAMA ST
BRISTOL TN, 37620-2307, US
Phone (423) 968-4444
Fax
Business Location
PO BOX 711
BRISTOL TN, 37621-0711, US
Phone (423) 968-4444
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 0000009625
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According to our database, Carol A Dewey NPI is 1063552461, taxonomy code is 207Q00000X and license number is 0000009625, license state is located at Tennessee. Carol A Dewey physically located at 522 Alabama St, Bristol TN, 37620-2307. NPI Number 1033115704 has the healthcare provider type.

1063552461 NPI number is provided on an as is basis without warranty of any kind. 1063552461 is maintained by the National Plan & Provider Enumeration System. The contents of Carol A Dewey are for informational purposes only.