Organization
WELLMONT PHYSICIAN SERVICES INC
Active
Other names
OB Gyn Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY M LOCKE CPC CCS-P (BILLING ADMINISTRATOR)
(423) 224-3250
Entity
Organization
Contact information
Practice address
1980 HOLTON AVE E, SUITE 301, BIG STONE GAP, VA 24219-3366
(276) 523-0390
(423) 523-5514
Mailing address
999 EXECUTIVE PARK BLVD, SUITE 201, KINGSPORT, TN 37660-4632
(423) 224-3250
(423) 224-3258
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65942757
—
KY
Enumeration date
03/28/2007
Last updated
04/22/2010
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