Organization
BRISTOL SURGICAL ASSOCIATES PC
Active
Parent organization
BRISTOL SURGICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRISTOL SURGICAL ASSOCIATES, PC
Authorized official
DAVID NELSON GWALTNEY MD (PARTNER)
(423) 844-6620
Entity
Organization
Contact information
Practice address
594 RADIO HILL RD, MARION, VA 24354-4224
(423) 844-6620
(423) 844-6626
Mailing address
1 MEDICAL PARK BLVD, 250 WEST, BRISTOL, TN 37620
(423) 844-6620
(423) 844-6626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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