| NPI | 1245509280 |
|---|---|
| Other Name | KINGSPORT INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RUSSELL E LEWIS Executive Director 423-433-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |