Eddlemon, Eugene D.

Eddlemon, Eugene D. is an individual health care provider with primary practice located at 2253 Chambliss Ave. Ste. 401, Cleveland TN 37311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Eddlemon, Eugene D. can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2253 Chambliss Ave. Ste. 401 Cleveland TN 37311
Phone: (423) 267-0466
Fax: (423) 778-5177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G68376 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X G68376 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD67391 Tennessee

Profile Details

NPI number 1871525477
LBN Legal business name Eddlemon, Eugene D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2006
Last updated Oct 25th, 2024 - about 2 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 1871525477 NPPES
Tennessee MEDICAID Q090231
Tennessee Other G68376
Tennessee MEDICAID 00G683761
Tennessee Other 94-3365249

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