MOUNTAIN REGION FAMILY MEDICINE PC NPI 1831467067

NPI Information

MOUNTAIN REGION FAMILY MEDICINE, PC is a family medicine in Kingsport, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MOUNTAIN REGION FAMILY MEDICINE, PC NPI is 1831467067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

444 CLINCHFIELD STREET
STE 201
KINGSPORT, TN
ZIP 37660-683
Phone: (423) 230-2100
Fax: (423) 230-2112

The provider's authorized official is Wanda Y Trent .
The authorized official title is Corporate Secretary and has the following contact phone number (423) 230-2109.

The CLIA number assigned to this NPI record is 44D0900567 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/2/2011 and was last updated on 3/10/2017.

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:

Other Identifiers

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