Individual
DR. STEPHEN P COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 JUDGE GRESHAM RD, SUITE B, GRAY, TN 37615-6213
(423) 477-2885
(423) 477-0113
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101259182
VA
208000000X
Pediatrics Physician
26795
TN
2080A0000X
Pediatric Adolescent Medicine Physician
0101259182
VA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
26795
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095016
—
VA
Enumeration date
01/26/2006
Last updated
05/24/2022
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