NPI Index

ETLOG MANAGEMENT SERVICE

Clinic/Center - Health Service

Active Organization
NPI: 1932750189

Practice Address

1005 CARRINGTON CT
Kingsport, TN 37660

Phone: (423) 677-7040

Specialties

Specialty Code Primary License
Clinic/Center - VA 261QV0200X No -
Clinical Medical Laboratory 291U00000X No -
Case Management 251B00000X No -
Nursing Care 251J00000X No -
Clinic/Center - Primary Care 261QP2300X No -
Clinic/Center - Radiology, Mobile 261QR0208X No -
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Clinic/Center - Rural Health 261QR1300X No -
Clinic/Center - Urgent Care 261QU0200X No -
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children 3245S0500X No -
Clinic/Center - Health Service 261QH0100X Yes -

Frequently Asked Questions

NPI 1932750189 is the National Provider Identifier for ETLOG MANAGEMENT SERVICE, a Clinic/Center - Health Service provider located in Kingsport, TN. This NPI was enumerated on September 27, 2019.

Quick Facts

NPI
1932750189
Type
Organization
Enumerated
Sep 27, 2019
Last Updated
Sep 8, 2020

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