Organization
MOUNTAIN REGION FAMILY MEDICINE, PC
Active
Other names
MRFM- Gate City Weekend Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA TRENT (CORPORATE SECRETARY)
(423) 230-2109
Entity
Organization
Contact information
Practice address
390 KANE ST, GATE CITY, VA 24251-2753
(276) 386-3411
(276) 386-3492
Mailing address
444 CLINCHFIELD ST STE 201, KINGSPORT, TN 37660-3863
(423) 230-2113
(423) 230-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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