Individual
DALE E SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1916 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 392-6000
(423) 392-6030
Mailing address
1916 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 392-6000
(423) 392-6030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD07021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110183641
RAILROAD MEDICARE
TN
05
—
1134185242
—
VA
01
—
2001223
BCBS
TN
05
—
3160714
—
TN
05
—
Q003316
—
TN
01
—
TN01K6
JOHN DEERE
TN
Enumeration date
04/26/2006
Last updated
02/23/2017
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