| Wellmont Physician Services Inc | |
|
295 Wharton Ln Ne Norton VA 24273-1541 | |
| (276) 679-0321 | |
| (276) 679-2267 |
| Full Name | Wellmont Physician Services Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 295 Wharton Ln Ne, Norton, Virginia |
| Authorized Official Name and Position | Cindy M Locke (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 4232243250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellmont Physician Services Inc 999 Executive Park Blvd Suite 201 Kingsport TN 37660-4632 Ph: (423) 224-3250 | Wellmont Physician Services Inc 295 Wharton Ln Ne Norton VA 24273-1541 Ph: (276) 679-0321 |
| NPI Number | 1346368115 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346368115 | NPI | - | NPPES |
| 023305000 | Other | VA | FEDERAL BLACK LUNG |
| 1527279 | Other | VA | UMWA |
| 608464000 | Other | VA | DEPARTMENT OF LABOR |
| 65928152 | Medicaid | KY |
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