Individual
ANTHONY J PALAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
Mailing address
310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604-6008
(423) 929-7393
(423) 929-0872
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
43661
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506079
—
TN
05
—
1629030267
—
VA
01
—
4190101
BC/BS
TN
05
—
5910847
—
NC
05
—
7100051410
—
KY
01
—
P00677077
RAILROAD MEDICARE
SD
Enumeration date
04/06/2006
Last updated
02/21/2017
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