Individual
DR. JASON ALLEN FOGLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 STEELES RD, BRISTOL, TN 37620-9532
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
17769
NV
207X00000X
Orthopaedic Surgery Physician
Primary
59286
TN
Other
Enumeration date
04/05/2013
Last updated
01/14/2021
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