| Mountain Region Family Medicine, Pc | |
|
101 Professional Park Pvt Dr Kingsport TN 37663-2288 | |
| (423) 239-7300 | |
| (423) 239-8581 |
| Full Name | Mountain Region Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Professional Park Pvt Dr, Kingsport, Tennessee |
| 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 101 Professional Park Pvt Dr Kingsport TN 37663-2288 Ph: (423) 239-7300 | Mountain Region Family Medicine, Pc 101 Professional Park Pvt Dr Kingsport TN 37663-2288 Ph: (423) 239-7300 |
| NPI Number | 1710990601 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 12/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710990601 | NPI | - | NPPES |
| 020189600 | Other | TN | FBL |
| 3706159 | Medicaid | TN | |
| 31378070 | Other | TN | DOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
Wps Providers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 | |
Sullivan And Ptrs Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2204 Pavilion Dr Ste 108, Kingsport, TN 37660 Phone: 423-392-6100 Fax: 423-392-0803 | |
Kingsport Primary Care, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1526 Bridgewater Ln, Kingsport, TN 37660 Phone: 423-246-0033 Fax: 423-245-0034 | |
Tri-cities Gastroenterology Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10461 Wallace Alley St, Kingsport, TN 37663 Phone: 423-279-1400 | |
Kingsport Consultants Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000 Fax: 423-224-4693 | |
Carl E Bendeck Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Belmeade Dr, Kingsport, TN 37664 Phone: 423-578-3489 | |
A. Evan Lewis Phd Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1936 Brookside Dr Ste D, Kingsport, TN 37660 Phone: 423-392-5020 Fax: 423-392-5100 |