Individual
DR. RANDALL L BELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
378 MARKETPLACE DR, SUITE 5, JOHNSON CITY, TN 37604-2361
(423) 282-0751
(423) 282-1577
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1640
TN
207P00000X
Emergency Medicine Physician
1756
WV
207Q00000X
Family Medicine Physician
Primary
1640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000688219
BLUE CROSS
WV
05
—
005645786
—
VA
05
—
5600582001
—
WV
05
—
6405640
—
KY
01
—
P00285995
MEDICARE RAILROAD
WV
Enumeration date
06/14/2006
Last updated
07/07/2021
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