Correll, Geoffrey Grattan
Correll, Geoffrey Grattan is an individual health care provider with primary practice located at 109 Meadowview Rd Suite 3, Bristol TN 37620-1669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Correll, Geoffrey Grattan can be contacted via phone (423) 968-2446.Contact Information
Primary practice address
109 Meadowview Rd Suite 3
Bristol TN 37620-1669
Phone: (423) 968-2446
Fax: (423) 968-7223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD27152 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101054051 | Virginia |
Profile Details
| NPI number | 1861462426 |
|---|---|
| LBN Legal business name | Correll, Geoffrey Grattan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Apr 29th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861462426 | NPPES |
| Virginia | MEDICAID | 005600227 |
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