Organization
GREGORY H PASTRICK PC
Active
Other names
DBA The Plastic Surgery Center of East Tennessee
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE M PASTRICK R.N. (OFFICE ADMINISTRATOR)
(423) 392-4878
Entity
Organization
Contact information
Practice address
1 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7393
(423) 392-4884
(423) 392-4820
Mailing address
1 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7393
(423) 392-4884
(423) 392-4020
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31934
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4046491
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/15/2006
Last updated
12/11/2008
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