| Mountain Region Family Medicine, Pc | |
|
101 Professional Park Pvt Dr Kingsport TN 37663-2288 | |
| (423) 230-7300 | |
| Not Available |
| 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 444 Clinchfield St Ste 201 Kingsport TN 37660-3863 Ph: () - | Mountain Region Family Medicine, Pc 101 Professional Park Pvt Dr Kingsport TN 37663-2288 Ph: (423) 230-7300 |
| NPI Number | 1659907327 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 03/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659907327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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