Individual
DR. JEFFREY STEPHEN ALVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 301-6567
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
(423) 301-6567
(423) 573-9672
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
51399
TN
2085R0202X
Diagnostic Radiology Physician
Primary
51399
TN
2085U0001X
Diagnostic Ultrasound Physician
51399
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101238581
BOARD OF MEDICINE LICENSE
VA
01
—
2013-00191
STATE MEDICAL LICENSE
NC
01
—
51399
MEDICAL LICENSE
TN
Enumeration date
01/29/2007
Last updated
07/11/2023
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