Individual
DR. JONATHAN V. MAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PK. BLVD., BRISTOL, TN 37620
(423) 968-1144
(423) 968-3453
Mailing address
3053 W. STATE ST., BRISTOL, TN 37620
(423) 968-1144
(423) 968-3453
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD424783
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101401704
—
PA
Enumeration date
03/31/2006
Last updated
03/24/2011
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