Byers, John Gordon

Byers, John Gordon is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 3W, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Byers, John Gordon can be contacted via phone (423) 844-5583.

Contact Information

Primary practice address
1 Medical Park Blvd Suite 3W Bristol TN 37620-7430
Fax: (423) 844-5588
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD0000010851 Tennessee

Profile Details

NPI number 1619960515
LBN Legal business name Byers, John Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 25th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619960515 NPPES
Tennessee MEDICAID 3171970

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