Northeast Tennessee Emergency Physicians PC

NPI #1144505512 in Kingsport, Tennessee

Provider Information

NPI Number: 1144505512
Entity Type: Organization
Organization Name: Northeast Tennessee Emergency Physicians PC
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 18, 2011
Last Updated: Oct 18, 2011

Practice Location

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

Authorized Official

Name: JOHN MARK WOODARD, MD
Title: PRESIDENT
Phone: (423) 408-2960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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