Regional Neurosurgery, P.c.

NPI #1104916238 in Kingsport, Tennessee

Provider Information

NPI Number: 1104916238
Entity Type: Organization
Organization Name: Regional Neurosurgery, P.c.
Primary Specialty: Specialist
Enumeration Date: Oct 12, 2006
Last Updated: Jan 28, 2011

Practice Location

Address: 999 EXECUTIVE PARK BLVD
Address 2: SUITE #102
City: Kingsport
State: Tennessee
ZIP Code: 37660-4632
Phone: (423) 578-1518

Authorized Official

Name: DR. GREGORY CORRADINO, M.D.
Title: PRESIDENT
Phone: (423) 578-1518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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