Individual
DR. JEFFREY S. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
235 MEDICAL PARK BLVD, BRISTOL, TN 37620-7455
(423) 246-6777
(423) 246-7766
Mailing address
135 W RAVINE RD, SUITE 3A, KINGSPORT, TN 37660-3847
(423) 246-6777
(423) 246-7766
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD031443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005824958
—
VA
01
—
100027166
PHP TENNCARE
TN
05
—
1803462000
—
WV
01
—
3121717
BCBS OF TN
TN
05
—
3700035
—
TN
01
—
396702
ANTHEM
VA
01
—
5160031
AETNA
TN
05
—
64062763
—
KY
01
—
TN0114
UNITED HEALTHCARE RIVER V
TN
Enumeration date
09/14/2005
Last updated
05/27/2008
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