1932750189 ETLOG MANAGEMENT SERVICE

Health Service Clinic/Center

Active

Basic Information

Organization Name
ETLOG MANAGEMENT SERVICE
Enumeration Date
September 27, 2019
Last Update
September 8, 2020
Authorized Official
DR. YAW OTCHERE-BOATENG MD
CEO
Phone: (423) 677-7040

Practice Location

Address
1005 CARRINGTON CT
KINGSPORT, TN 376605694
Phone
(423) 677-7040

Mailing Address

Address
1005 CARRINGTON CT
KINGSPORT, TN 376605694
Phone
(423) 677-7040

Specialties & Taxonomies

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

Frequently Asked Questions

What is ETLOG MANAGEMENT SERVICE's NPI number?
ETLOG MANAGEMENT SERVICE's NPI number is 1932750189.
Which doctor has NPI number 1932750189?
The doctor with NPI number 1932750189 is ETLOG MANAGEMENT SERVICE.
What is ETLOG MANAGEMENT SERVICE's practice address?
ETLOG MANAGEMENT SERVICE's practice address is 1005 CARRINGTON CT, KINGSPORT, TN, 376605694.
Which doctor practices at 1005 CARRINGTON CT, KINGSPORT, TN, 376605694?
ETLOG MANAGEMENT SERVICE practices at 1005 CARRINGTON CT, KINGSPORT, TN, 376605694.
What is ETLOG MANAGEMENT SERVICE's phone number?
ETLOG MANAGEMENT SERVICE's phone number is (423) 677-7040.
Who is (423) 677-7040?
(423) 677-7040 is the phone number for ETLOG MANAGEMENT SERVICE.
What is ETLOG MANAGEMENT SERVICE's specialty?
ETLOG MANAGEMENT SERVICE's specialty is Health Service Clinic/Center.
What type of doctor is ETLOG MANAGEMENT SERVICE?
ETLOG MANAGEMENT SERVICE is a Health Service Clinic/Center.
Is ETLOG MANAGEMENT SERVICE a Health Service?
Yes, ETLOG MANAGEMENT SERVICE is a Health Service.
Is ETLOG MANAGEMENT SERVICE still practicing?
Yes, ETLOG MANAGEMENT SERVICE is currently practicing.
Is ETLOG MANAGEMENT SERVICE accepting new patients?
ETLOG MANAGEMENT SERVICE may be accepting new patients. Please call their office at (423) 677-7040 to inquire about availability.
Is NPI 1932750189 still active?
Yes, NPI 1932750189 is currently active.
Where does ETLOG MANAGEMENT SERVICE practice?
ETLOG MANAGEMENT SERVICE practices in KINGSPORT, TN.