Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE SIDES
Active Sole ProprietorJAKE SIDES is a General Surgery healthcare provider located in BRISTOL, Tennessee. NPI 1003279662 is currently active in the NPPES registry. Verify at CMS.
General Surgery · BRISTOL, TN
Registration Details
- NPI Number
- 1003279662
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2016 (10.389687473851 yrs)
- Last Updated
- Jul 3, 2024
- Licenses
-
0101275797 (VA)63286 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 MEDICAL PARK BLVD STE 250WBRISTOL, TN, 376207431Browse TN providers · Browse ZIP 37620
- Phone
- 4238446620
- Fax
- 4238446626
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- General Surgery
Other General Surgery Providers in BRISTOL, TN
| Name | Credential | NPI |
|---|---|---|
| GEORGE DARBY POPE | M.D. | 1821024860 |
| MICHAEL E CHUPP | MD | 1457367302 |
| DR. SIDNEY W COLLINS JR. | MD | 1083624365 |
| EUGENE C MCCLINTIC | MD | 1508973819 |
| DAVID GWALTNEY | M.D. | 1538264064 |
| THOMAS C GREENE | M.D. | 1801991062 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.