Gwaltney, David Nelson

Gwaltney, David Nelson is an individual health care provider with primary practice located at 1 Medical Park Blvd 250 West, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gwaltney, David Nelson can be contacted via phone (423) 844-6620.

Contact Information

Primary practice address
1 Medical Park Blvd 250 West Bristol TN 37620-7430
Phone: (423) 844-6620
Fax: (423) 844-6627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15402 Tennessee

Profile Details

NPI number 1538264064
LBN Legal business name Gwaltney, David Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Sep 27th, 2021 - about 5 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 1538264064 NPPES
Tennessee Other 022276800 BLACK LUNG GROUP
Tennessee MEDICAID 7300140000 BLACK LUNG GROUP
Tennessee Other 4546155 BLACK LUNG GROUP
Tennessee MEDICAID 7304692 BLACK LUNG GROUP
Tennessee Other F03906748 BLACK LUNG GROUP
Tennessee Other 2001924 BLACK LUNG GROUP
Tennessee MEDICAID 3008207 BLACK LUNG GROUP
Tennessee Other 770000847 BLACK LUNG GROUP
Tennessee Other TN0102 BLACK LUNG GROUP
Tennessee Other 027541 BLACK LUNG GROUP
Tennessee Other 0636398 BLACK LUNG GROUP

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