Individual
DR. OCTAVIO J PINELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 300, KINGSPORT, TN 37660-4634
(423) 392-6370
(423) 392-6736
Mailing address
2002 BROOKSIDE DR, SUITE 300, KINGSPORT, TN 37660-4634
(423) 392-6370
(423) 392-6736
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD017185
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730186859
—
VA
05
—
3022087
—
TN
Enumeration date
07/05/2005
Last updated
02/21/2017
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