Organization
WPS PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA L HARWOOD (DIRECTOR)
(423) 302-6565
Entity
Organization
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 224-4000
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
05/10/2024
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