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Individual

JOSHUA BARRETT COMPTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
6419 BRISTOL HWY, PINEY FLATS, TN 37686-5208
(423) 538-5202
(423) 538-8208
Mailing address
6419 BRISTOL HWY, PINEY FLATS, TN 37686-5208
(423) 538-5202
(423) 538-8208

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004080
VA
363A00000X
Physician Assistant
Primary
2298
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1531321
TN
01
P0141821
RR MEDICARE
TN
Enumeration date
02/18/2013
Last updated
01/30/2017
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