# CENTERPOINT MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1295778538
- **Authorized official:** MRS. INA K BONE NP (NP/CO-OWNER)
- **Authorized official phone:** (423) 247-7030

## Contact information

- **Practice address:** 2020 BROOKSIDE DRIVE, SUITE 20, KINGSPORT, TN 37660
- **Practice address phone:** (423) 247-7030
- **Practice address fax:** (423) 247-7033
- **Mailing address:** PO BOX 4842, JOHNSON CITY, TN 37602-4842
- **Mailing address phone:** (423) 247-7030
- **Mailing address fax:** (423) 247-7033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | TN | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 09/09/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3721007 | — | TN |