Bristol Surgical Associates PC
Organization Active NPI Surgery Physician · Marion, VA
NPI 1972211340 · NPPES record last updated Nov 14, 2022
Key facts
- NPI
- 1972211340
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BRISTOL SURGICAL ASSOCIATES PC
- Practice address
- 594 Radio Hill Rd
Marion, VA 24354-4224 - Phone
- (423) 844-6620
- Fax
- (423) 844-6626
- NPI assigned
- Nov 14, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- BRISTOL SURGICAL ASSOCIATES, PC
Authorized official
- Name
- David Nelson Gwaltney, MD
- Title
- Partner
- Phone
- (423) 844-6620
Practitioners 3
-
David Gwaltney, M.D.
-
Jessica McCracken, D.O.
National Provider Directory
- Part of
- Frank S Blanton MD
Locations
594 Radio Hill Rd
Marion, VA 24354
Phone (276) 782-9545
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
594 Radio Hill Rd
Marion, VA 24354-4224
Mailing address
1 Medical Park Blvd
250 West
Bristol, TN 37620
Phone (423) 844-6620
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.