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Organization
TRI-CITIES GASTROENTEROLOGY LLC
Active
Organization
TRI-CITIES GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CARMELA MERRITT (PRACTICE ADMINISTRATOR)
(423) 279-1414
Entity
Organization
Contact information
Practice address
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 279-1400
Mailing address
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 279-1400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
07/13/2006
Last updated
10/26/2023
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