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Organization

TRI-CITIES ENDOSCOPY CENTER PC

Active
Other names
The Center for Digestive Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE CARMELA MERRITT (PRACTICE ADMINISTRATOR)
(423) 279-1414
Entity
Organization

Contact information

Practice address
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 279-1400
Mailing address
10461 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 279-1400

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
261QE0800X
Endoscopy Clinic/Center
151
TN

Other

Enumeration date
07/13/2006
Last updated
10/21/2022
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