Wellmont Physician Services INC
Internal Medicine in Kingsport, TN. Organization (NPI-2).
NPI number1285680819
StatusActive
Last updated in NPPESSep 16, 2010
Details
- NPI
- 1285680819
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellmont Physician Services INC
- Organization subpart
- No
- Enumeration date
- May 25, 2006
- Last updated
- Sep 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 363LX0001X | Nurse Practitioner, Obstetrics & Gynecology | – | – | |
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207V00000X | Obstetrics & Gynecology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 208000000X | Pediatrics | – | – | |
| 367500000X | Nurse Anesthetist, Certified Registered | – | – | |
| 207L00000X | Anesthesiology | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207RI0200X | Internal Medicine, Infectious Disease | – | – | |
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | – | – | |
| 363AS0400X | Physician Assistant, Surgical | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
999 Executive Park BlvdSuite 201
Kingsport, TN 37660-4632
Phone 423-224-3250 · Fax 423-224-3258
Mailing address
999 Executive Park BlvdSuite 201
Kingsport, TN 37660-4632
Phone 423-224-3250 · Fax 423-224-3258
Authorized official
Cindy Locke
Billing Administrator
4232243289
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