Individual
DENISE S SIBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
403 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2056
(423) 283-0333
(423) 283-0518
Mailing address
403 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2056
(423) 283-0333
(423) 283-0518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD20001
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3883716
—
TN
01
—
4054870
BCBS OF TN
TN
01
—
TN0101
JOHN DEERE
TN
Enumeration date
06/04/2006
Last updated
08/10/2010
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