Mountain Region Family Medicine, PC

NPI #1710990601 in Kingsport, Tennessee

Provider Information

NPI Number: 1710990601
Entity Type: Organization
Organization Name: Mountain Region Family Medicine, PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2006
Last Updated: Dec 14, 2017

Practice Location

Address: 101 PROFESSIONAL PARK PVT DR
City: Kingsport
State: Tennessee
ZIP Code: 37663-2288
Phone: (423) 239-7300

Authorized Official

Name: WANDA TRENT
Title: CORPORATE SECRETARY
Phone: (423) 230-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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