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Individual

DR. JOHN RICHARD HOVIOUS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
109 MEADOW VIEW ROAD, SUITE 7, BRISTOL, TN 37620-1661
(423) 652-1655
(423) 652-7668
Mailing address
109 MEADOW VIEW ROAD, SUITE 7, BRISTOL, TN 37620-1661
(423) 652-1655
(423) 652-7668

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0000013744
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000013744
MEDICAL LICENSE NUMBER
TN
05
006725198
VA
01
096148
ANTHEM
VA
01
110289
BLUECROSS/BLUESHIELD TENN
TN
05
3045396
TN
01
44D0672628
CLIA NUMBER
TN
01
4531227
AETNA
TN
01
71056376201
JOHN DEERE
TN
Enumeration date
07/05/2005
Last updated
04/06/2023
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