Individual
DR. SHAUN KENNETH GEOFFREY COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660-7475
(423) 230-5000
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66832
TN
207R00000X
Internal Medicine Physician
MT209561
PA
207RC0000X
Cardiovascular Disease Physician
66832
TN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
66832
TN
Other
Enumeration date
06/18/2015
Last updated
03/05/2025
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