Individual
WAHID JOHN ABADIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
576 FORT LOUDOUN MEDICAL CENTER DR, SUITE 101, LENOIR CITY, TN 37772-5676
(865) 271-6566
(865) 271-6566
Mailing address
576 FORT LOUDOUN MEDICAL CENTER DR, SUITE 101, LENOIR CITY, TN 37772-5676
(865) 271-6565
(865) 271-6566
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
RI5775
RI
2086S0129X
Vascular Surgery Physician
RI5775
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9004705
—
RI
Enumeration date
11/13/2006
Last updated
05/25/2021
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