Organization
ASSOCIATED ORTHOPAEDICS OF KINGSPORT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA J WELLS (PRACTICE MANAGER)
(423) 230-3870
Entity
Organization
Contact information
Practice address
338 COEBURN AVE SW, NORTON, VA 24273-2606
(276) 679-0800
(423) 857-8129
Mailing address
2202 N JOHN B DENNIS HWY, SUITE 100, KINGSPORT, TN 37660-5904
(423) 245-3161
(423) 857-8129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013273937
—
VA
Enumeration date
04/04/2012
Last updated
08/13/2012
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