Individual
DR. GREGORY H PASTRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Contact information
Practice address
1 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7393
(423) 932-4884
(423) 392-4820
Mailing address
1 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7393
(423) 932-4884
(423) 392-4820
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD31934
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4046491
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/13/2006
Last updated
12/11/2008
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