Individual
BRIAN QUANG LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 3, JOHNSON CITY, TN 37604-6171
(423) 439-7201
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
0101260819
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
67586
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q082908
—
TN
Enumeration date
07/15/2009
Last updated
01/18/2024
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