Organization
EMERGENT ACO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT FOWLER MD, JD (PRESIDENT)
(423) 857-2066
Entity
Organization
Contact information
Practice address
2323 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4771
(423) 857-2066
Mailing address
2323 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-4771
(423) 857-2066
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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