Wellmont Physician Services Inc in Kingsport - Family

Wellmont Physician Services Inc - NPI 1346368115

Wellmont Physician Services Inc is a Family in Kingsport, Tennessee. Wellmont Physician Services Inc practices all healthcare services and medical treatments related to Family. The NPI Number for Wellmont Physician Services Inc is 1346368115. The last update date is 2010-04-22.

Wellmont Physician Services Inc's current location address is 999 Executive Park Blvd, Kingsport, Tennessee. You can contact this provider via phone number 4232243250 and fax number 4232243258. The mailing address for Wellmont Physician Services Inc is 999 Executive Park Blvd, Kingsport, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wellmont Physician Services Inc
Address 999 Executive Park Blvd, Kingsport, Tennessee
Phone Number 4232243250
Fax Number 4232243258
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BILLING AD
Authorized Official Name Locke M Cindy
Credentials CPC CCS-P
Telephone Number 4232243250

NPI Number Detail

NPI Number 1346368115
Provider Enumeration Date 2007-03-27
Last Updated Date 2010-04-22

Provider Mailing Address Detail

Address 999 Executive Park Blvd
City Kingsport
State Tennessee (TN)
Post Code 376604632
Phone Number 4232243250
Fax Number 4232243258

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
23305000 VA FEDERAL BLACK LUNG
1527279 VA UMWA
608464000 VA DEPARTMENT OF LABOR
65928152 KY --

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FAQs about Wellmont Physician Services Inc

What is the unique 10-digit identification code assigned to Wellmont Physician Services Inc by the Centers for Medicare & Medicaid Services?

The Wellmont Physician Services Inc has been issued the NPI (National Provider Identifier) 1346368115, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Wellmont Physician Services Inc is located?

The Wellmont Physician Services Inc is situated at the following address: 999 Executive Park Blvd, Kingsport, TN, 376604632.

What is Wellmont Physician Services Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wellmont Physician Services Inc's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346368115 to Wellmont Physician Services Inc?

The Centers for Medicare & Medicaid Services assigned the 1346368115 to Wellmont Physician Services Inc on 2007-03-27.

As of what date were the details pertaining to Wellmont Physician Services Inc last refreshed?

The information related to the Wellmont Physician Services Inc, including its address, specialty, and other relevant details, was last updated on 2010-04-22.

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