NPI 1184299018

Wellmont Medical Associates, INC.

Organisation Physiological Laboratory Greeneville, TN

Practice location

Address: 438 E Vann Rd STE 101, Greeneville, TN 37743-7202
Phone: (423) 278-1856
Fax: (423) 390-6945
Mailing address: 311 Princeton Rd STE 1, Johnson City, TN 37601-2080

Authorised official

Name: Mary L Krutak
Title: Evp/Cfo
Phone: (423) 302-3423

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Tennessee →

Registry record

NPI: 1184299018
Entity type: Organization
NPI issued: 24 May 2021
Record last updated: 24 May 2021

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.