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KINGSPORT ENDOSCOPY CORPORATION

Surgery Yellow Pages

Kingsport, Tennessee

Provider NPI: 1578558078

Organization Information:
Organization Name:  KINGSPORT ENDOSCOPY CORPORATION


Practice Location:
135 W RAVINE RD SUITE 7A KINGSPORT, TN 37660 US
Tel: 423-246-6777  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000055

Other Provider Identifiers:

IssuerNumberStateType
PHP TENNCARE100020225TN01
BCBS OF TN001000993TN01
ANTHEM000815VA01
007641354VA05
3287295TN05
36000412KY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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