Organization
ASSOCIATED NEUROLOGISTS OF KINGSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY JENKINS (OFFICE MANAGER)
(423) 247-5553
Entity
Organization
Contact information
Practice address
8 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7479
(423) 247-5553
(423) 247-9254
Mailing address
8 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7479
(423) 247-5553
(423) 247-9254
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3701692
—
TN
Enumeration date
09/26/2006
Last updated
05/03/2023
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