STATUS ALLERGY CLINIC OF KINGSPORT

KINGSPORT, TN
NPI1972811503
Entity TypeOrganization
Authorized ContactNALINCHANDRA GOPALDAS SHAH
President Md
423-247-1122
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: TN  MD0000015776)
Additional Taxonomies207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: TN  MD0000015776)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
STATUS ALLERGY CLINIC OF KINGSPORT
1516 BRIDGEWATER DR.
KINGSPORT, TN 37660
Phone number: 423-247-1122
Mailing Address
STATUS ALLERGY CLINIC OF KINGSPORT
P.O. BOX 3490
KINGSPORT, TN 37664
Phone number: 423-247-1122
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NALINCHANDRA GOPALDAS SHAH