Organization
MMDS IDTF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD WILLIAMS (DIRECTOR)
(423) 230-8093
Entity
Organization
Contact information
Practice address
1038 S WILCOX DR, SUITE 115, KINGSPORT, TN 37660-5378
(423) 230-8093
Mailing address
PO BOX 15268, ASHEVILLE, NC 28813-0268
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
08/22/2020
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