Organization
WELLMONT MEDICAL ASSOCIATES INC
Active
Other names
Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE HILTON (EVP/CFO)
(423) 302-3467
Entity
Organization
Contact information
Practice address
105 W STONE DR, SUITE 6A, KINGSPORT, TN 37660
(423) 408-7220
(423) 408-7405
Mailing address
2020 BROOKSIDE DR, KINGSPORT, TN 37660-4633
(423) 343-0434
(423) 343-0435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/03/2010
Last updated
04/19/2024
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