Mountain Region Family Medicine, PC

NPI #1831467067 in Kingsport, Tennessee

Provider Information

NPI Number
1831467067
Entity Type
Organization
Organization Name
Mountain Region Family Medicine, PC
Primary Specialty
Family Medicine
Enumeration Date
Dec 2, 2011
Last Updated
Mar 10, 2017

Practice Location

Address
444 CLINCHFIELD STREET
Address 2
STE 201
ZIP Code
37660-3683
Phone
(423) 230-2100

Authorized Official

Name
MS. WANDA Y TRENT
Title
CORPORATE SECRETARY
Phone
(423) 230-2109

Specialties & Taxonomy Codes

Specialty
Family Medicine

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