Organization
MMDS OF KINGSPORT LLC
Active
Parent organization
MMDS OF KINGSPORT
Organization subpart
Yes
Provider details
NPI number
Legal business name
MMDS OF KINGSPORT
Authorized official
LLOYD WILLIAMS (OWNER)
(432) 230-8093
Entity
Organization
Contact information
Practice address
367 NATURES WAY DR, DUFFIELD, VA 24244-5153
(423) 230-8093
(423) 230-4932
Mailing address
1038 S WILCOX DR, SUITE # AA, KINGSPORT, TN 37660-5378
(423) 230-8093
(423) 230-4932
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
06/16/2008
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