Individual
DR. MICHAEL JON WINSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
(423) 224-3258
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD000009200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006433
BCBS
TN
05
—
3701692
—
TN
05
—
6101372
—
VA
Enumeration date
01/18/2007
Last updated
10/23/2008
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