Individual
J.LAWRENCE JAYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 968-4540
(423) 968-5697
Mailing address
350 BLOUNTVILLE HWY, SUITE 207, BRISTOL, TN 37620-0213
(423) 968-4540
(423) 968-5697
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD008312
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3186187
—
TN
Enumeration date
08/01/2006
Last updated
03/07/2023
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