| Holston Regional Alternative Medicine | |
|
1303 E Center St Kingsport TN 37664-2444 | |
| (423) 384-4443 | |
| (423) 239-9649 |
| Full Name | Holston Regional Alternative Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1303 E Center St, Kingsport, Tennessee |
| Authorized Official Name and Position | John James Tasker (PHYSICIAN) |
| Authorized Official Contact | 4233849266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holston Regional Alternative Medicine 1303 E Center St Kingsport TN 37664-2444 Ph: (423) 384-4443 | Holston Regional Alternative Medicine 1303 E Center St Kingsport TN 37664-2444 Ph: (423) 384-4443 |
| NPI Number | 1912194028 |
|---|---|
| Provider Enumeration Date | 10/02/2007 |
| Last Update Date | 01/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912194028 | NPI | - | NPPES |
| 6205721 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD017578 (Tennessee) | Primary |
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