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General NPI Number Information
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NPI Number | 1689032575
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Entity Type | Organization
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Legal Business Name | WELLMONT MEDICAL ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/05/2016
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 405 SCENIC DR SUITE A
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City | ROGERSVILLE
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State | TN
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Zip | 37857-2441
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Country | US
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Telephone | 423-921-3490
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Fax | 423-272-7667
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Provider Business Mailing Address
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Address Line | 1021 W OAKLAND AVE STE 310
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2192
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Country | US
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Telephone | 423-952-2111
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL BILLING
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Name | JENNIFER GELARDI
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Credential |
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Telephone | 888-288-5174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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