Watauga Surgical Partners Pllc

NPI #1194437624 in Kingsport, Tennessee

Provider Information

NPI Number
1194437624
Entity Type
Organization
Organization Name
Watauga Surgical Partners Pllc
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Dec 15, 2022
Last Updated
Dec 15, 2022

Practice Location

Address
10425 WALLACE ALLEY STREET
ZIP Code
37663
Phone
(423) 282-9011

Authorized Official

Name
KIM MARDEN
Title
CHIEF EXECUTIVE OFFICER
Phone
(423) 282-9011

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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