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PEDRO A BAUZA-FELICIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-7000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101280394
VA
2084P0800X
Psychiatry Physician
35133831
OH
2084P0800X
Psychiatry Physician
4301104729
MI
2084P0800X
Psychiatry Physician
69224
TN
2084P0800X
Psychiatry Physician
Primary
CDR.0004465
CO
2084P0800X
Psychiatry Physician
MD447631
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
232359401
MLHC TAX ID
PA
Enumeration date
09/26/2010
Last updated
01/28/2026
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