Individual
DR. BRENT AEBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3185 W STATE ST STE 2010, BRISTOL, TN 37620-1600
(423) 968-7555
(423) 968-7641
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101266297
VA
207W00000X
Ophthalmology Physician
Primary
59087
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019114588
—
VA
05
—
Q048398
—
TN
Enumeration date
03/30/2015
Last updated
02/28/2024
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