KINGSPORT PRIMARY CARE PC NPI 1023186145

NPI Information

KINGSPORT PRIMARY CARE, PC is a primary care clinic center in Kingsport, TN. KINGSPORT PRIMARY CARE, PC NPI is 1023186145. The provider is registered as an organization entity type.

The provider's business location address is:

1526 BRIDGEWATER LN
KINGSPORT, TN
ZIP 37660-106
Phone: (423) 246-0033
Fax: (423) 245-0034

The provider's authorized official is Scott D Mclain .
The authorized official title is Supervising Physician and has the following contact phone number (423) 246-0033.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/7/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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