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Contact Information

SCOTT C DULEBOHN, MD
410 N STATE OF FRANKLIN RD
SUITE 120
JOHNSON CITY, TN37604-6971
 Phone: 423-431-2350
 Fax: 423-431-2372
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT C DULEBOHN · (Male)

NPI # 1528009198
Status Active
Credentials MD
Entity Individual
Enumeration date 06/08/2006
Last updated 04/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GU License # M-2375
  • GU License # MTL-2023-001
  • MN License # 40265
  • TN License # MD34821
  • VA License # 0101247383
  • NC Medicaid 1528009198
  • TN Medicaid 3338931
  • TN Medicaid Q003378
  • VA Medicaid 1528009198
  • TN Other 4127300 BCBS OF TENNESSEE
  • TN Other TN01A5 JOHN DEERE
Hospital affiliation(s)
  • FRANKLIN WOODS COMMUNITY HOSPITAL - (Acute Care)
    300 MED TECH PARKWAY
    JOHNSON CITY, TN 37604
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • JOHNSON CITY MEDICAL CENTER - (Acute Care)
    400 N STATE OF FRANKLIN RD
    JOHNSON CITY, TN 37604
  • 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
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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