institution
Cynthia Poortenga, Md Pc
Primary Care Clinic/Center in Kingsport, Tennessee
NPI 1922171149

Cynthia Poortenga, Md Pc is a Primary Care Clinic/Center based in Kingsport, TN and is specialized in Primary Care. Cynthia Poortenga, Md Pc practices in Kingsport, TN. The NPI Number for Cynthia Poortenga, Md Pc is 1922171149 and holds a License No. MD0000017131 (Tennessee).

The current practice location address for Cynthia Poortenga, Md Pc is 121 E Ravine Rd, Kingsport, TN and can be reached out via phone at 423-230-4800 and via fax at 423-230-4808. You can also correspond with Cynthia Poortenga, Md Pc through the mailing address at 121 E RAVINE RD, KINGSPORT, TN - 37660-3816 (mailing address contact number: 423-230-4800).

Location: 121 E Ravine Rd, Kingsport, TN, 37660-3816
institution
Provider Profile Details
NPI Number
1922171149
Provider Name
Cynthia Poortenga, Md Pc
Credential
Provider Entity Type
Organization
Address
121 E Ravine Rd, Kingsport, TN, 37660-3816
Phone Number
423-230-4800
Fax Number
423-230-4808
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3372564 05 TN
5645956 05 VA
246269 01 VA ANTHEM BCBS VA
4054392 01 TN BCBS TN
institution
Provider Business Practice Location Address Details
Address
121 E Ravine Rd
City
State
Zip
37660-3816
Phone Number
423-230-4800
Fax Number
423-230-4808
person
Provider Business Mailing Address Details
Address
121 E Ravine Rd
City
State
Zip
37660-3816
Phone Number
423-230-4800
Fax Number
423-230-4808
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD0000017131 (Tennessee)
Definition
Definition to come...
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