Individual
DANIEL B VANCE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3785
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS CROSSING DR, SUITE 200, CLEVELAND, TN 37312-3785
(423) 479-4165
(423) 478-1884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12815
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31882941
—
TN
05
—
3188296
—
TN
01
—
4178405
BCBS
SD
01
—
4178405
BCBS
TN
Enumeration date
02/15/2006
Last updated
09/04/2020
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