Individual
RICHARD CHERNECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-1121
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036150540
IL
207RG0100X
Gastroenterology Physician
20775
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000247002D
—
MS
01
—
3021100531
MEDICARE
MS
Enumeration date
12/13/2006
Last updated
10/23/2023
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