# TRI-CITIES GASTROENTEROLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083639918
- **Authorized official:** MICHELLE CARMELA MERRITT (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (423) 279-1414

## Contact information

- **Practice address:** 10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
- **Practice address phone:** (423) 279-1400
- **Mailing address:** 10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
- **Mailing address phone:** (423) 279-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 10/26/2023