Individual
DR. JAMES HENRY BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 BROOKSIDE DR, INDIAN PATH HOSPITAL, KINGSPORT, TN 37660-4627
(423) 857-7870
(423) 857-7872
Mailing address
2545 ESSEX DR, KINGSPORT, TN 37660-4750
(423) 288-6881
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
019941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142480
—
KY
Enumeration date
06/06/2006
Last updated
01/07/2011
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