Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Region Family Medicine, PC

Organization Family Medicine Physician · NPI 1710990601

Mountain Region Family Medicine, PC is a Family Medicine Physician 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.

See every abbreviation used in this directory →

Practice location Address checks out

101 Professional Park Pvt Dr
Kingsport, TN 37663-2288
Phone: (423) 239-7300
Fax: (423) 239-8581
Show map & directions

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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