Kingsport Primary Care, Pc

NPI 1023186145 - Clinic/Center - 261QP2300X

NPI Details
NPI 1023186145
Enumeration Date 11/30/2006
Last Updated 06/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GINGER D GINGER
Position PRACTICE MANAGER
Phone (423) 246-0033
Fax (423) 245-0034
Practice Location
1526 BRIDGEWATER LN
KINGSPORT TN, 37660-4106, US
Phone (423) 246-0033
Fax (423) 245-0034
Business Location
1526 BRIDGEWATER LN
KINGSPORT TN, 37660-4106, US
Phone (423) 246-0033
Fax (423) 245-0034
Toxanomy
Taxonomy Code 261QP2300X
License State Tennessee
License Number MD11895
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According to our database, Kingsport Primary Care, Pc NPI is 1023186145, taxonomy code is 261QP2300X and license number is MD11895, license state is located at Tennessee. Kingsport Primary Care, Pc physically located at 1526 Bridgewater Ln, Kingsport TN, 37660-4106. NPI Number 1033115704 has the healthcare provider type.

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1023186145 NPI number is provided on an as is basis without warranty of any kind. 1023186145 is maintained by the National Plan & Provider Enumeration System. The contents of Kingsport Primary Care, Pc are for informational purposes only.