WILLIAMS PRIMARY CARE OF TRI-CITIES LLC NPI 1053825075

NPI Information

WILLIAMS PRIMARY CARE OF TRI-CITIES, LLC is a primary care nurse practitioner in Kingsport, TN. WILLIAMS PRIMARY CARE OF TRI-CITIES, LLC NPI is 1053825075. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1901 BROOKSIDE DR STE 105
KINGSPORT, TN
ZIP 37660-617
Phone: (423) 384-2820

The provider's authorized official is Penny Williams-cordeiro .
The authorized official title is Owner and has the following contact phone number (423) 384-2820.

The enumeration date for this NPI number is 11/29/2017 and was last updated on 11/29/2017.

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:

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