institution
Kingsport Primary Care, Pc
Primary Care Clinic/Center in Kingsport, Tennessee
NPI 1023186145

Kingsport Primary Care, Pc is a Primary Care Clinic/Center based in Kingsport, TN and is specialized in Primary Care. Kingsport Primary Care, Pc practices in Kingsport, TN. The NPI Number for Kingsport Primary Care, Pc is 1023186145 and holds a License No. MD11895 (Tennessee).

The current practice location address for Kingsport Primary Care, Pc is 1526 Bridgewater Ln, Kingsport, TN and can be reached out via phone at 423-246-0033 and via fax at 423-245-0034. You can also correspond with Kingsport Primary Care, Pc through the mailing address at 1526 BRIDGEWATER LN, KINGSPORT, TN - 37660-4106 (mailing address contact number: 423-246-0033).

Location: 1526 Bridgewater Ln, Kingsport, TN, 37660-4106
institution
Provider Profile Details
NPI Number
1023186145
Provider Name
Kingsport Primary Care, Pc
Credential
Provider Entity Type
Organization
Address
1526 Bridgewater Ln, Kingsport, TN, 37660-4106
Phone Number
423-246-0033
Fax Number
423-245-0034
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3732429 05 TN
3732429 01 TN MEDICARE PTAN
2403604 01 TN CIGNA
institution
Provider Business Practice Location Address Details
Address
1526 Bridgewater Ln
City
State
Zip
37660-4106
Phone Number
423-246-0033
Fax Number
423-245-0034
person
Provider Business Mailing Address Details
Address
1526 Bridgewater Ln
City
State
Zip
37660-4106
Phone Number
423-246-0033
Fax Number
423-245-0034
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD11895 (Tennessee)
Definition
Definition to come...
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