| Centerpoint Medical Clinic Llc | |
|
2020 Brookside Drive Suite 20 Kingsport TN 37660 | |
| (423) 247-7030 | |
| (423) 247-7033 |
| Full Name | Centerpoint Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2020 Brookside Drive, Kingsport, Tennessee |
| Authorized Official Name and Position | Ina K Bone (NP/CO-OWNER) |
| Authorized Official Contact | 4232477030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerpoint Medical Clinic Llc Po Box 4842 Johnson City TN 37602-4842 Ph: (423) 247-7030 | Centerpoint Medical Clinic Llc 2020 Brookside Drive Suite 20 Kingsport TN 37660 Ph: (423) 247-7030 |
| NPI Number | 1295778538 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295778538 | NPI | - | NPPES |
| 3721007 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
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