Organization
PULMONARY ASSOCIATES OF KINGSPORT
Active
Other names
Pulmonary Associates-Big Stone Gap
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY HAWKINS (ADMINISTRATOR)
(423) 247-5197
Entity
Organization
Contact information
Practice address
1980 HOLTON AVE E, SUITE 202, BIG STONE GAP, VA 24219-3366
(276) 523-8860
(276) 523-8862
Mailing address
111 W STONE DR, SUITE 100, KINGSPORT, TN 37660-6027
(423) 247-5197
(423) 247-5254
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055800
ANTHEM
VA
05
—
3700107
—
TN
05
—
65906208
—
KY
01
—
85538
BLUE CROSS BLUE SHEILD
TN
Enumeration date
05/18/2010
Last updated
06/22/2010
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