institution
Kingsport Endoscopy Corporation
Ambulatory Surgical Clinic/Center in Kingsport, Tennessee
NPI 1578558078

Kingsport Endoscopy Corporation is an Ambulatory Surgical Clinic/Center based in Kingsport, TN and is specialized in Ambulatory Surgical. Kingsport Endoscopy Corporation practices in Kingsport, TN. The NPI Number for Kingsport Endoscopy Corporation is 1578558078 and holds a License No. 0000000055 (Tennessee).

The current practice location address for Kingsport Endoscopy Corporation is 135 W Ravine Rd, Kingsport, TN and can be reached out via phone at 423-246-6777 and via fax at 423-246-7766.

Location: 135 W Ravine Rd, Kingsport, TN, 37660-3847
institution
Provider Profile Details
NPI Number
1578558078
Provider Name
Kingsport Endoscopy Corporation
Credential
Provider Entity Type
Organization
Address
135 W Ravine Rd, Kingsport, TN, 37660-3847
Phone Number
423-246-6777
Fax Number
423-246-7766
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
007641354 05 VA
000815 01 VA ANTHEM
001000993 01 TN BCBS OF TN
36000412 05 KY
100020225 01 TN PHP TENNCARE
3287295 05 TN
institution
Provider Business Practice Location Address Details
Address
135 W Ravine Rd
City
State
Zip
37660-3847
Phone Number
423-246-6777
Fax Number
423-246-7766
person
Provider Business Mailing Address Details
Address
135 W Ravine Rd
City
State
Zip
37660-3847
Phone Number
423-246-6777
Fax Number
423-246-7766
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
0000000055 (Tennessee)
Definition
Definition to come...
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