Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mountain Region Family Medicine, PC

Organization Family Medicine Physician · NPI 1710990601

Mountain Region Family Medicine, PC provides Family Medicine Physician services in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

101 Professional Park Pvt Dr
Kingsport, TN 37663-2288
Phone: (423) 239-7300
Fax: (423) 239-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (TN)

Record details

NPI number1710990601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wanda Trent — Corporate Secretary · (423) 230-2109
NPI enumeratedAugust 14, 2006
Last updated in NPPESDecember 14, 2017
Mailing address101 Professional Park Pvt Dr, Kingsport, TN 37663-2288

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