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Individual

DR. JEFFREY MCQUEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
240 MEDICAL PARK BLVD STE 2700, BRISTOL, TN 37620-7352
(423) 990-2450
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101051116
VA
207V00000X
Obstetrics & Gynecology Physician
MD 27626
TN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD27626
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010100542
VA
05
3801345
TN
Enumeration date
05/24/2005
Last updated
03/18/2021
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