Individual
DR. BRIAN LEE VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
304 WRIGHT ST, SWEETWATER, TN 37874-1181
(865) 213-8593
(865) 213-8593
Mailing address
144 AUTUMN WOODS DRIVE, SWEETWATER, TN 37874
(423) 351-7949
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD0000040334
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0000040334
MEDICAL LICENSE
TN
Enumeration date
10/03/2007
Last updated
10/29/2009
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