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1710990601
MOUNTAIN REGION FAMILY MEDICINE, PC
KINGSPORT, TN
NPI
1710990601
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Entity Type
Organization
Authorized Contact
WANDA TRENT
Corporate Secretary
423-230-2109
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-08-14
Last Update Date
2017-12-14
Business Address
MOUNTAIN REGION FAMILY MEDICINE, PC
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663-2288
Phone number: 423-239-7300
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Mailing Address
MOUNTAIN REGION FAMILY MEDICINE, PC
101 PROFESSIONAL PARK PVT DR
KINGSPORT, TN 37663-2288
Phone number: 423-239-7300
Copy
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