# WELLMONT MEDICAL ASSOCIATES, INC.

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

## Provider details

- **NPI number:** 1295193183
- **Authorized official:** TODD J DOUGAN (WHS SR VP FINANCE)
- **Authorized official phone:** (423) 230-8512

## Contact information

- **Practice address:** 410 STAGECOACH RD, BRISTOL, VA 24201-8359
- **Practice address phone:** (276) 466-0480
- **Practice address fax:** (276) 669-8583
- **Mailing address:** 509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
- **Mailing address phone:** (423) 952-2111
- **Mailing address fax:** (423) 952-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2016
- **Last updated:** 10/18/2019