Organization
WELLSPRING HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE S SIBLEY MD (PRESIDENT)
(423) 283-0333
Entity
Organization
Contact information
Practice address
403 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2056
(423) 283-0333
(423) 283-0518
Mailing address
403 PRINCETON RD, SUITE 7, JOHNSON CITY, TN 37601-2056
(423) 283-0333
(423) 283-0518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371182
—
TN
Enumeration date
08/10/2006
Last updated
08/10/2010
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