Individual
DR. CARL ERIC BENDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Mailing address
2000 BROOKSIDE DR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516316
—
TN
05
—
1801828934
—
VA
05
—
38000321
—
TN
05
—
5912846
—
NC
05
—
7100040190
—
KY
01
—
P00886934
RAILROAD MEDICARE
TN
05
—
Q002681
—
TN
Enumeration date
07/07/2006
Last updated
12/11/2014
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