Individual
DR. JEFFERY DALE SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-3111
(423) 224-3258
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101051557
VA
208M00000X
Hospitalist Physician
Primary
0101051557
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3009742
—
TN
05
—
64776792
—
KY
Enumeration date
07/04/2006
Last updated
10/29/2014
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