Individual
HOLLY AMBER BERNDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD STE 350W, BRISTOL, TN 37620-7471
(423) 282-1480
(423) 928-1353
Mailing address
PO BOX 4018, JOHNSON CITY, TN 37602-4018
(423) 282-1480
(423) 928-1353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101257455
VA
207R00000X
Internal Medicine Physician
Primary
52384
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012575
—
TN
Enumeration date
05/15/2007
Last updated
03/17/2018
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