Individual
CELSO T EBEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 N STATE OF FRANKLIN RD STE 303, JOHNSON CITY, TN 37604-6051
(423) 926-8181
(423) 926-4421
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 926-8181
(423) 926-4421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41941
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
41941
TN
207RP1001X
Pulmonary Disease Physician
41941
TN
207RS0012X
Sleep Medicine (Internal Medicine) Physician
41941
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010036186
—
VA
05
—
1104812734
—
VA
05
—
1841829000
—
WV
05
—
3000405
—
TN
05
—
64070527
—
KY
Enumeration date
09/20/2005
Last updated
05/11/2026
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