Individual
DR. WILLIAM HENRY BESTERMANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 W STONE DR, SUITE 5D, KINGSPORT, TN 37660-3256
(423) 857-2790
(423) 857-2791
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
7752
SC
207R00000X
Internal Medicine Physician
Primary
MD41977T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710057047
—
VA
05
—
3000587
—
TN
Enumeration date
11/08/2006
Last updated
09/16/2009
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