Pierce, Daryl Wayne
Pierce, Daryl Wayne is an individual health care provider with primary practice located at 2205 Pavilion Dr Suite 101, Kingsport TN 37660-4641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pierce, Daryl Wayne can be contacted via phone (423) 857-6466.Contact Information
Primary practice address
2205 Pavilion Dr Suite 101
Kingsport TN 37660-4641
Phone: (423) 857-6466
Fax: (423) 857-6456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 0101231036 | Virginia |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35145 | Tennessee |
Profile Details
| NPI number | 1316919905 |
|---|---|
| LBN Legal business name | Pierce, Daryl Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Feb 21st, 2017 - about 8 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 | 1316919905 | NPPES |
| Virginia | MEDICAID | 1316919905 | |
| Virginia | Other | P01632630 | |
| Virginia | MEDICAID | Q020753 |
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