Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD0000011890 | TN |
NPI | 1023358793 |
---|---|
Provider Name | Dr. David H Sewell |
First Address | Kingsport, TN 37660-4523 |
Second Address | Kingsport, TN 37660-4523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2013 |
Last Update Date | 18/02/2013 |