Surgical Associates of Kingsport, INC

NPI #1609806389 in Kingsport, Tennessee

Provider Information

NPI Number: 1609806389
Entity Type: Organization
Organization Name: Surgical Associates of Kingsport, INC
Primary Specialty: Surgery
Enumeration Date: Jul 5, 2006
Last Updated: Jul 31, 2015

Practice Location

Address: 444 CLINCHFIELD STREET
Address 2: SUITE 2900
City: Kingsport
State: Tennessee
ZIP Code: 37660-3858
Phone: (723) 245-6101

Authorized Official

Name: LISA O MULLINS
Title: PRACTICE ADMINISTRATOR
Phone: (423) 245-6101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X
Surgery - Trauma Surgery — Trauma Surgery	2086S0127X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery - Surgical Oncology — Surgical Oncology	2086X0206X
Colon & Rectal Surgery	208C00000X
Surgery	208600000X	Primary

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