Wps Providers INC

NPI #1003904095 in Kingsport, Tennessee

Provider Information

NPI Number: 1003904095
Entity Type: Organization
Organization Name: Wps Providers INC
Primary Specialty: General Practice
Enumeration Date: Oct 11, 2006
Last Updated: May 10, 2024

Practice Location

Address: 130 W RAVINE RD
City: Kingsport
State: Tennessee
ZIP Code: 37660-3837
Phone: (423) 224-4000

Authorized Official

Name: JUANITA L HARWOOD
Title: DIRECTOR
Phone: (423) 302-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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