Individual
EUGENE C MCCLINTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620-7430
(423) 844-6620
(423) 844-6626
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD0000024575
TN
208600000X
Surgery Physician
Primary
24575
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007345747
—
VA
01
—
162576
TN BC
TN
05
—
3385580
—
TN
01
—
4545327
AETNA
TN
01
—
ANTHEM
038614
VA
Enumeration date
08/23/2006
Last updated
06/19/2024
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