Individual
BROOKS M TALTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, HVMC/RADIATION ONCOLOGY DEPT, KINGSPORT, TN 37660-3810
(423) 224-5500
(423) 224-5439
Mailing address
PO BOX 1183, LEBANON, TN 37088-1183
(615) 449-9680
(615) 449-9390
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0101026611
VA
2085R0001X
Radiation Oncology Physician
Primary
MD0000012151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3175160
—
TN
05
—
7287241
—
VA
Enumeration date
05/04/2006
Last updated
07/08/2007
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