Dr. Brian David Shafer
Family Doctor - Sports Medicine
105 W Stone Dr Ste 3a
Kingsport
, Tennessee 37660-3365
Dr. Brian David Shafer
Family Doctor - Sports Medicine
105 W Stone Dr Ste 3a
Kingsport
, Tennessee 37660-3365
(423) 857-2070
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Brian David Shafer
- Po Box 9
- Kingsport, TN
- Zip : 37662-0009
- Fax : (423) 857-2070
- Phone : (423) 857-2066
Second Address
- Dr. Brian David Shafer
- 105 W Stone Dr Ste 3a
- Kingsport, TN
- Zip : 37660-3365
- Fax : (423) 392-6593
- Phone : (423) 392-6200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QS0010X | Family Doctor - Sports Medicine | 2009-01336 | NC |
| Y | 207QS0010X | Family Doctor - Sports Medicine | DO2151 | TN |
National Provider Identifier
| NPI | 1316131998 |
|---|---|
| Provider Name | Dr. Brian David Shafer |
| First Address | Kingsport, TN 37662-0009 |
| Second Address | Kingsport, TN 37660-3365 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2007 |
| Last Update Date | 03/02/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.