# WELLMONT MEDICAL ASSOCIATES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ballad Health Imaging Center, Greeneville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184299018
- **Authorized official:** MARY L KRUTAK (EVP/CFO)
- **Authorized official phone:** (423) 302-3423

## Contact information

- **Practice address:** 438 E VANN RD STE 101, GREENEVILLE, TN 37743-7202
- **Practice address phone:** (423) 278-1856
- **Practice address fax:** (423) 390-6945
- **Mailing address:** 311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
- **Mailing address phone:** (423) 278-1856
- **Mailing address fax:** (423) 390-6945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 05/24/2021