Organization
WELLMONT MEDICAL ASSOCIATES, INC.
Active
Other names
Ballad Health Imaging Center, Greeneville
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L KRUTAK (EVP/CFO)
(423) 302-3423
Entity
Organization
Contact information
Practice address
438 E VANN RD STE 101, GREENEVILLE, TN 37743-7202
(423) 278-1856
(423) 390-6945
Mailing address
311 PRINCETON RD STE 1, JOHNSON CITY, TN 37601-2080
(423) 278-1856
(423) 390-6945
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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