Jake Sides
Surgeon
1 Medical Park Blvd 250 West
Bristol
, Tennessee 37620-3762
(423) 844-6626
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About
Features
Specialties
- Surgeon
Languages spoken
- English
Location
First Address
- Jake Sides
- 1 Medical Park Blvd 250 West
- Bristol, TN
- Zip : 37620-2200
- Fax : (423) 844-6626
- Phone : (423) 844-6620
Second Address
- Jake Sides
- 1 Medical Park Blvd 250 West
- Bristol, TN
- Zip : 37620-3762
- Fax : (423) 844-6626
- Phone : (423) 844-6620
Reviews
FAQs
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What type of doctor is Jake Sides
In what state does Jake Sides practice in?
Where is Jake Sides ’s practice located?
What is Jake Sides ’s gender?
Is Jake Sides a sole practitioner?
Is Jake Sides accepting new patients?
What languages does Jake Sides speak?
Does Jake Sides accept insurance?
Does Jake Sides offers telemedicine?
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What is Jake Sides ’s NPI number?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 63286 | TN |
| Y | 208600000X | Surgeon | 63286 | TN |
National Provider Identifier
| NPI | 1003279662 |
|---|---|
| Provider Name | Jake Sides |
| First Address | Bristol, TN 37620-2200 |
| Second Address | Bristol, TN 37620-3762 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2016 |
| Last Update Date | 27/09/2021 |
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.