| Mountain Region Family Medicine, Pc | |
|
390 Kane St Gate City VA 24251-2753 | |
| (276) 386-3411 | |
| (276) 386-3492 |
| Full Name | Mountain Region Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 390 Kane St, Gate City, Virginia |
| Authorized Official Name and Position | Wanda Trent (CORPORATE SECRETARY) |
| Authorized Official Contact | 4232302109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Region Family Medicine, Pc 444 Clinchfield St Ste 201 Kingsport TN 37660-3863 Ph: (423) 230-2113 | Mountain Region Family Medicine, Pc 390 Kane St Gate City VA 24251-2753 Ph: (276) 386-3411 |
| NPI Number | 1316572530 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316572530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mountain Region Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Kane St, Gate City, VA 24251 Phone: 276-386-3411 Fax: 276-286-2492 |