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Organization
WELLMONT MEDICAL ASSOCIATES, INC.
Active
Organization
WELLMONT MEDICAL ASSOCIATES, INC.
Active
Other names
Ballad Health Imaging Center, Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LYNN KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
301 MED TECH PKWY, JOHNSON CITY, TN 37604-2630
(423) 302-6239
(423) 302-6248
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(423) 302-6239
(423) 302-6248
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/21/2021
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