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KINGSPORT TN OPHTHALMOLOGY ASC LLC

Surgery Yellow Pages

Kingsport, Tennessee

Provider NPI: 1649244211

Organization Information:
Organization Name:  KINGSPORT TN OPHTHALMOLOGY ASC LLC


Practice Location:
999 EXECUTIVE PARK BLVD SUITE 100 KINGSPORT, TN 37660 US
Tel: 423-247-2022  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
TN0000000158

Other Provider Identifiers:

IssuerNumberStateType
3288818TN05
MEDICARE RAILROADP00057294TN01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



JOBS TN - Page 1



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