Individual
SAMUEL LUCAS BRASHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 MEDICAL PARK BLVD STE 3000, BRISTOL, TN 37620-7352
(423) 990-2400
(423) 990-2417
Mailing address
240 MEDICAL PARK BLVD STE 3000, BRISTOL, TN 37620-7352
(423) 990-2400
(423) 990-2417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70910
TN
Other
Enumeration date
03/26/2021
Last updated
10/23/2024
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