Provider First Line Business Practice Location Address:
130 RAVINE RD
Provider Second Line Business Practice Location Address:
HOLSTON VALLEY MEDICAL CENTER C/O NETEP
Provider Business Practice Location Address City Name:
KINGSPORT
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-224-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/30/2008