Organization
KINGSPORT UROLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOODROW W. REEVES (PRESIDENT)
(423) 246-4155
Entity
Organization
Contact information
Practice address
1932 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 349-6679
(423) 246-7169
Mailing address
1932 BROOKSIDE DR, KINGSPORT, TN 37660-4602
(423) 349-6679
(423) 246-7169
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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