KINGSPORT PRIMARY HEALTHCARE, LLC

KINGSPORT, TN
NPI1679074892
Entity TypeOrganization
Authorized ContactSTAN MCLAIN
Medical Director
313-363-6325
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  MD39507)
Enumeration Date2018-02-22
Last Update Date2018-02-22
Business Address
KINGSPORT PRIMARY HEALTHCARE, LLC
1526 BRIDGEWATER LN
KINGSPORT, TN 37660-4106
Phone number: 423-246-0033
Mailing Address
KINGSPORT PRIMARY HEALTHCARE, LLC
4980 RANDEL RD
ONEIDA, NY 13421-3515
Phone number: 315-363-6325
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