Individual
DAVID GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-3919
(423) 975-0141
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 844-3919
(423) 975-0141
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15402
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022276800
BLACK LUNG GROUP
TN
01
—
027541
INDV ANTHEM/GROUP #093410
TN
01
—
0636398
UMWA GROUP
TN
01
—
2001924
BCBS OF TENNESSEE
TN
05
—
3008207
—
TN
01
—
4546155
AETNA
TN
05
—
7300140000
—
WV
05
—
7304692
—
VA
01
—
770000847
MCRAILROAD/GROUP#CA8128
TN
01
—
F03906748
CHAMPUS GROUP
TN
01
—
TN0102
JOHN DEERE NOW UNITED HC
TN
Enumeration date
09/13/2006
Last updated
02/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us