Individual
DR. RUFUS G BRECKENRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 E CHURCH ST, GREENEVILLE, TN 37745-5603
(423) 638-4131
(423) 638-9239
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23745
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000039
—
TN
01
—
2008551
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
11/28/2006
Last updated
04/25/2024
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