Organization
FIRST MED INC
Active
Other names
First Med Kingsport
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M MAUGHON M.D. (OWNER)
(865) 446-4032
Entity
Organization
Contact information
Practice address
190 COMMUNITY CENTER DR, SUITE 102, PIGEON FORGE, TN 37863-6251
(865) 446-4032
(865) 868-4746
Mailing address
1229 N EASTMAN RD, SUITE 210, KINGSPORT, TN 37664-3166
(423) 765-2243
(423) 765-2245
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD16795
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3023149
—
TN
Enumeration date
07/25/2014
Last updated
07/25/2014
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