Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X |
| NPI # | 1982745741 |
| LBN Legal business name | PULMONARY ASSOCIATES OF KINGSPORT |
| Authorized official | SHIRLEY HAWKINS - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/12/2007 |
| Last updated | 12/12/2008 - About 17 years ago |
| Identifiers | n/a |
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