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Individual

DR. J SCOTT RIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
504 OLD JONESBORO ROAD, BRISTOL, TN 37620
(423) 844-1000
Mailing address
P.O. BOX 7500, BRISTOL, TN 37620
(423) 844-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101250287
VA
207Q00000X
Family Medicine Physician
01049962
IN
207Q00000X
Family Medicine Physician
Primary
47774
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200268690
IN
Enumeration date
10/24/2006
Last updated
08/23/2012
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