Organization
WELLMONT HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KILGORE (EXECUTIVE DIRECTOR)
(423) 578-1512
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 857-2066
(423) 857-2070
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 857-2070
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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