NPI 1003904095

Wps Providers INC

Organisation General Practice Physician Kingsport, TN

Practice location

Address: 130 W Ravine Rd, Kingsport, TN 37660-3837
Phone: (423) 224-4000
Mailing address: 105 W Stone Dr Suite 6a, Kingsport, TN 37660-3365

Authorised official

Name: Juanita L Harwood
Title: Director
Phone: (423) 302-6565

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Tennessee →

Registry record

NPI: 1003904095
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 10 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.