Organization
CENTERPOINT MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. INA K BONE NP (NP/CO-OWNER)
(423) 247-7030
Entity
Organization
Contact information
Practice address
2020 BROOKSIDE DRIVE, SUITE 20, KINGSPORT, TN 37660
(423) 247-7030
(423) 247-7033
Mailing address
PO BOX 4842, JOHNSON CITY, TN 37602-4842
(423) 247-7030
(423) 247-7033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3721007
—
TN
Enumeration date
06/14/2006
Last updated
09/09/2011
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