| Pedirite Medical Tn Pllc | |
|
100 Netherland Ln Kingsport TN 37660-7245 | |
| (212) 764-0008 | |
| Not Available |
| Full Name | Pedirite Medical Tn Pllc |
|---|---|
| Speciality | General Practice |
| Location | 100 Netherland Ln, Kingsport, Tennessee |
| Authorized Official Name and Position | Sol Klein (OFFICE) |
| Authorized Official Contact | 2127640008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedirite Medical Tn Pllc 267 Broadway Fl 2 Brooklyn NY 11211-6216 Ph: (212) 764-0008 | Pedirite Medical Tn Pllc 100 Netherland Ln Kingsport TN 37660-7245 Ph: (212) 764-0008 |
| NPI Number | 1255189718 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255189718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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