Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD0000041576 | TN |
NPI | 1184782740 |
---|---|
Provider Name | Bojidar Dolaptchiev |
First Address | Morristown, TN 37814-1593 |
Second Address | Newport, TN 37821-3703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 25/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1424662 | BCBS (01) | TN |
38334272 | (05) | TN |