Individual
SCOTT C DULEBOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
410 N STATE OF FRANKLIN RD, SUITE 120, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 120, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101247383
VA
207T00000X
Neurological Surgery Physician
40265
MN
207T00000X
Neurological Surgery Physician
M-2375
GU
207T00000X
Neurological Surgery Physician
Primary
MD34821
TN
207T00000X
Neurological Surgery Physician
MTL-2023-001
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528009198
—
NC
05
—
1528009198
—
VA
05
—
3338931
—
TN
01
—
4127300
BCBS OF TENNESSEE
TN
05
—
Q003378
—
TN
01
—
TN01A5
JOHN DEERE
TN
Enumeration date
06/08/2006
Last updated
04/21/2023
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