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
410 STAGECOACH RD, BRISTOL, VA 24201-8359
(276) 466-0480
(276) 669-8583
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 952-2111
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
10/18/2019
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