| Doctor Name: | DR. EGBERT REBEIRO |
| NPI Number: | 1275583908 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD-12630 |
| Business Practice Address: | 143 Kennedy Dr Suite B Martin, TN - 382373309 |
| Business Phone Number: | 7315873030 |
| Business Fax Number: | 7315873032 |
| Mailing Address: | 143 Kennedy Dr, Suite B MARTIN |
| State: | TN |
| Postal Code: | 382373309 |
| Phone Number: | 7315873030 |
| Fax Number: | 7315873032 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086X0206X |
| License Number: | MD-12630 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Surgical Oncology |
| Taxonomy Definition: | A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |