Mmds Idtf LLC

NPI #1629020896 in Kingsport, Tennessee

Provider Information

NPI Number
1629020896
Entity Type
Organization
Organization Name
Mmds Idtf LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
May 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1038 S WILCOX DR
Address 2
SUITE 115
ZIP Code
37660-5378
Phone
(423) 230-8093

Authorized Official

Name
LLOYD WILLIAMS
Title
DIRECTOR
Phone
(423) 230-8093

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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