| Wellspring Healthcare, Pllc | |
|
403 Princeton Rd Suite 7 Johnson City TN 37601-2056 | |
| (423) 283-0333 | |
| (423) 283-0518 |
| Full Name | Wellspring Healthcare, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 403 Princeton Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Denise S Sibley (PRESIDENT) |
| Authorized Official Contact | 4232830333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Healthcare, Pllc 403 Princeton Rd Suite 7 Johnson City TN 37601-2056 Ph: (423) 283-0333 | Wellspring Healthcare, Pllc 403 Princeton Rd Suite 7 Johnson City TN 37601-2056 Ph: (423) 283-0333 |
| NPI Number | 1821009747 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821009747 | NPI | - | NPPES |
| 371182 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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