Organization
REGIONAL NEUROSURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CORRADINO M.D. (PRESIDENT)
(423) 578-1518
Entity
Organization
Contact information
Practice address
999 EXECUTIVE PARK BLVD, SUITE #102, KINGSPORT, TN 37660-4632
(423) 578-1518
(423) 230-6350
Mailing address
999 EXECUTIVE PARK BLVD, SUITE #102, KINGSPORT, TN 37660-4632
(423) 578-1518
(423) 230-6350
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23552
TN
Other
Enumeration date
10/12/2006
Last updated
01/28/2011
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