Individual
DR. BERT E TAGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, STE 300 E, BRISTOL, TN 37620-7430
(423) 844-6450
(423) 844-6499
Mailing address
1 MEDICAL PARK BLVD, SUITE 300 E, BRISTOL, TN 37620-7430
(423) 844-6450
(423) 844-6499
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19394
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006404804
—
VA
05
—
3064402
—
TN
Enumeration date
08/11/2005
Last updated
06/17/2008
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