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Individual

ALBERT V BYSTRITSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
185 HOSPITAL RD, WINCHESTER, TN 37398-2404
(931) 967-8200
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37369
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3886530
TN
05
3886531
TN
01
4063780
BLUE CROSS
TN
01
4149683
BLUE CROSS
TN
01
P00305958
MEDICARE RAILROAD
TN
Enumeration date
06/07/2006
Last updated
11/06/2007
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