Individual
DR. BRUCE M HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 JOULE ST, ALCOA, TN 37701-2422
(865) 984-3864
(865) 380-4095
Mailing address
103 W BROADWAY AVE, MARYVILLE, TN 37801-4703
(865) 273-1752
(865) 273-1755
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD047481
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523891
—
TN
Enumeration date
06/16/2006
Last updated
06/08/2022
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