Most Relevant Information
Provider Data
| NPI Number: | 1659374601 |
| Provider Name: | WENDY TIPTON OBERDICK MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 200133 |
Most Important Dates
| Enumeration Date: | 05/23/2005 |
| Last Updated: | 10/20/2011 |
Provider Practice Location
105 W STONE DR
STE 1F
KINGSPORT
TN
376603365
Practice Location Phone/Fax
| Phone: | 4232302420 |
| Fax: | 4232302422 |
Provider Mailing Location
PO BOX 9
KINGSPORT
TN
376620009
Provider Mailing Phone/Fax
| Phone: | 4238572066 |
| Fax: | 4238572070 |
Suggested EMR
Family Practice EMR