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Organization

WELLMONT MEDICAL ASSOCIATES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TODD J DOUGAN (WHS SR VP FINANCE)
(423) 230-8512
Entity
Organization

Contact information

Practice address
4485 W STONE DR, SUITE 200, KINGSPORT, TN 37660-1050
(423) 224-3150
(423) 224-3169
Mailing address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660-3365
(423) 408-7220
(423) 408-7405

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
03/03/2016
Last updated
03/03/2016
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