Search › Tennessee › 208600000X
Jake Sides
NPI 1003279662 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1 Medical Park Blvd Ste 250w
Bristol, TN 37620 - Phone
- (423) 844-6620
- Fax
- (423) 844-6626
- Organisation at this address
- Walgreen Co
Drs. Green, P.C.
Campbell Clinic Pc
Campbell Clinic Pc
Marden Medical, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 296
Additional practice sites
- 594 Radio Hill Rd, Marion, VA
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
390200000X - Licence states on file
- VA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee