Individual provider · NPI-1

Dr. Erick C Bulawa, M.D.

Internal Medicine · Greeneville, TN

NPI number1326020199
StatusActive
Last updated in NPPESNov 14, 2023

Details

NPI
1326020199
Entity type
Individual (NPI-1)
Name
Dr. Erick C Bulawa
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2005
Certification date
Nov 14, 2023
Last updated
Nov 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine179208TNYes
207RB0002X Internal Medicine, Bariatric Medicine179208TN
208000000X Pediatrics179208TN

Practice location

438 E Vann Rd Ste 201
Greeneville, TN 37743-7202

Phone 423-278-1800 · Fax 423-278-1805

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Phone 423-302-6565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Greeneville, TN