| Welltech Internal Medicine, Pllc | |
|
101 Med Tech Pkwy Ste 406 Johnson City TN 37604-4000 | |
| (888) 625-4813 | |
| Not Available |
| Full Name | Welltech Internal Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Med Tech Pkwy Ste 406, Johnson City, Tennessee |
| Authorized Official Name and Position | Leslie Sullins (OWNER) |
| Authorized Official Contact | 8886254813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Welltech Internal Medicine, Pllc 6128 Old Jonesboro Rd Bristol TN 37620-3020 Ph: () - | Welltech Internal Medicine, Pllc 101 Med Tech Pkwy Ste 406 Johnson City TN 37604-4000 Ph: (888) 625-4813 |
| NPI Number | 1467035253 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 04/30/2021 |
| Medicare PECOS PAC ID | 6800295460 |
|---|---|
| Medicare Enrollment ID | O20210602000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467035253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie B Sullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619490307 PECOS PAC ID: 9032476841 Enrollment ID: I20171204002164 |
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