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Contact Information

PAUL L JETT, MD
2205 PAVILION DR STE 201
KINGSPORT, TN37660-4614
 Phone: 423-392-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for PAUL L JETT · (Male)

NPI # 1780634469
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 03/21/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD39397
  • VA License # 0101272721
  • TN Medicaid 1509475
  • TN Medicaid 3332616
Hospital affiliation(s)
  • WELLMONT HAWKINS COUNTY MEMORIAL HOSPITAL - (Acute Care)
    851 LOCUST STREET
    ROGERSVILLE, TN 37857
  • 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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