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Contact Information

JONATHAN V MAI, MD
1 MEDICAL PK. BLVD.
BRISTOL, TN37620
 Phone: 423-968-1144
 Fax: 423-968-3453
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JONATHAN V MAI · (Male)

NPI # 1396706024
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2006
Last updated 03/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD424783
  • PA Medicaid 101401704
Hospital affiliation(s)
  • TAKOMA REGIONAL HOSPITAL - (Acute Care)
    401 TAKOMA AVE
    GREENEVILLE, TN 37743
  • WELLMONT BRISTOL REGIONAL MEDICAL CENTER - (Acute Care)
    ONE MEDICAL PARK BLVD
    BRISTOL, TN 37620
  • WELLMONT HOLSTON VALLEY MEDICAL CENTER - (Acute Care)
    130 WEST RAVINE ROAD
    KINGSPORT, TN 37662
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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