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Contact Information

JEFFREY MCQUEARY, MD
240 MEDICAL PARK BLVD STE 2700
BRISTOL, TN37620-7352
 Phone: 423-990-2450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JEFFREY MCQUEARY · (Male)

NPI # 1740283688
Status Active
Credentials MD
Entity Individual
Enumeration date 05/24/2005
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD 27626
  • TN License # MD27626
  • VA License # 0101051116
  • TN Medicaid 3801345
  • VA Medicaid 010100542
Hospital affiliation(s)
  • 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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