Individual
DARYL WAYNE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2205 PAVILION DR, SUITE 101, KINGSPORT, TN 37660-4641
(423) 857-6466
(423) 857-6456
Mailing address
2205 PAVILION DR, SUITE 101, KINGSPORT, TN 37660-4641
(423) 857-6466
(423) 857-6456
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101231036
VA
207RH0003X
Hematology & Oncology Physician
Primary
35145
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316919905
—
VA
01
—
P01632630
RAILROAD MEDICARE
VA
05
—
Q020753
—
TN
Enumeration date
02/07/2006
Last updated
02/21/2017
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