| Wilkes-barre Academic Medicine Llc | |
|
2 Sharpe St Kingston PA 18704-3715 | |
| (570) 552-8900 | |
| Not Available |
| Full Name | Wilkes-barre Academic Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2 Sharpe St, Kingston, Pennsylvania |
| Authorized Official Name and Position | James P Wright (SENIOR DIRECTOR) |
| Authorized Official Contact | 6154657587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilkes-barre Academic Medicine Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000 | Wilkes-barre Academic Medicine Llc 2 Sharpe St Kingston PA 18704-3715 Ph: (570) 552-8900 |
| NPI Number | 1669613063 |
|---|---|
| Provider Enumeration Date | 03/13/2009 |
| Last Update Date | 05/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669613063 | NPI | - | NPPES |
| 00002101685 | Other | PA | BLUE SHIELD |
| 102288960-0001 | Medicaid | PA |
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