Mountain Empire Neurological Associates PC

NPI #1114042629 in Bristol, Tennessee

Provider Information

NPI Number: 1114042629
Entity Type: Organization
Organization Name: Mountain Empire Neurological Associates PC
Primary Specialty: Specialist
Enumeration Date: Mar 21, 2007
Last Updated: Jun 11, 2008

Practice Location

Address: 3183 W STATE ST
Address 2: SUITE 1201
City: Bristol
State: Tennessee
ZIP Code: 37620-1712
Phone: (423) 761-0987

Authorized Official

Name: DR. EARL KEITH WILSON, M.D.
Title: PRESIDENT
Phone: (423) 764-0987

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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