Organization
CLINCHFIELD FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CHARLENE GRIGSBY MD (OWNER/MEDICAL DIRECTOR)
(423) 378-1500
Entity
Organization
Contact information
Practice address
1936 BROOKSIDE DR STE E, KINGSPORT, TN 37660-4654
(423) 378-1500
(423) 378-1520
Mailing address
1936 BROOKSIDE DR STE E, KINGSPORT, TN 37660-4654
(423) 378-1500
(423) 378-1520
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0000042820
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316228075
—
VA
05
—
1527171
—
TN
Enumeration date
09/07/2011
Last updated
05/15/2024
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