Organization
MOUNTAIN REGION FAMILY MEDICINE, PC
Active
Other names
MRFM Colonial Hts - Weekend Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA TRENT (CORPORATE SECRETARY)
(423) 230-2109
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL PARK PVT DR, KINGSPORT, TN 37663-2288
(423) 230-7300
Mailing address
444 CLINCHFIELD ST STE 201, KINGSPORT, TN 37660-3863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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