Mountain Region Family Medicine, Pc | |
390 Kane St Gate City VA 24251-2753 | |
(276) 386-3411 | |
(276) 386-3492 |
Full Name | Mountain Region Family Medicine, Pc |
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Speciality | Family Medicine |
Location | 390 Kane St, Gate City, Virginia |
Authorized Official Name and Position | Wanda Trent (CORPORATE SECRETARY) |
Authorized Official Contact | 4232302109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mountain Region Family Medicine, Pc 444 Clinchfield St Ste 201 Kingsport TN 37660-3863 Ph: (423) 230-2113 | Mountain Region Family Medicine, Pc 390 Kane St Gate City VA 24251-2753 Ph: (276) 386-3411 |
NPI Number | 1316572530 |
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Provider Enumeration Date | 03/09/2020 |
Last Update Date | 03/09/2020 |
Identifier | Type | State | Issuer |
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1316572530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mountain Region Family Medicine, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Kane St, Gate City, VA 24251 Phone: 276-386-3411 Fax: 276-286-2492 |