Organization
HJP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY DEAL (AUTHORIZED OFFICIAL)
(423) 968-2895
Entity
Organization
Contact information
Practice address
520 BLUFF CITY HWY, BRISTOL, TN 37620-4606
(423) 968-2895
Mailing address
520 BLUFF CITY HWY, BRISTOL, TN 37620-4606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
05/21/2024
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