Individual
BRIAN K WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
101 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-4006
(423) 794-1800
(423) 794-1801
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-1800
(423) 794-1801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO01268
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3305615
—
TN
01
—
4138148
BCBS
TN
01
—
TN01E4
JOHN DEERE
TN
Enumeration date
04/17/2006
Last updated
02/24/2025
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