Individual
DR. BRIAN KERMIT STILTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, FOURTH FLOOR, ABINGDON, VA 24211-7664
(276) 258-4050
(276) 258-4056
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0102203297
VA
208M00000X
Hospitalist Physician
0102203297
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356638076
—
VA
05
—
Q014857
—
TN
Enumeration date
07/01/2011
Last updated
03/14/2024
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