Individual
DR. JAMES BRYSTON WINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
153 ROSS CARTER BLVD, DUFFIELD, VA 24244
(276) 431-2648
(276) 431-2082
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101031442
VA
207Q00000X
Family Medicine Physician
MD 13274
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005641594
—
VA
05
—
3185817
—
TN
05
—
5641594
—
VA
05
—
64116692
—
KY
Enumeration date
05/24/2005
Last updated
09/24/2009
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