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

Watauga Surgical Partners PLLC

Organization Ambulatory Surgical Clinic/Center · NPI 1194437624

Watauga Surgical Partners PLLC is an Ambulatory Surgical Clinic/Center in Kingsport, Tennessee. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10425 Wallace Alley St
Kingsport, TN 37663
Phone: (423) 282-9011
Fax: (423) 282-0035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1194437624
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Marden — Chief Executive Officer · (423) 282-9011
NPI enumeratedDecember 15, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address2410 Susannah Street, Johnson City, TN 37601

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