Individual
RYAN ANTHONY SEVILLA PARAWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
1149 BELL BUCKLE WARTRACE RD, WARTRACE, TN 37183-3064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
63950
TN
390200000X
Student in an Organized Health Care Education/Training Program
239304
NC
Other
Enumeration date
04/30/2018
Last updated
08/09/2021
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