SALLIE B LIVELY

WELLMONT MEDICAL ASSOCIATES INC

Dr SALLIE B LIVELY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2011 from East Tennessee State University, Quillen-dishner College Of Medicine.

Contact

WELLMONT MEDICAL ASSOCIATES INC

24530 FALCON PLACE BLVD
SUITE 102
ABINGDON
VA
242117665

Tel: 2766196128

SALLIE B LIVELY Information

Npi 1063781714
Pac Id 4284891623
Professional Enrollment Id I20120213000663
Last Name LIVELY
First Name SALLIE
Middle Name B
Suffix
Gender F
Credential
Medical School Name EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE
Graduation Year 2011
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WELLMONT MEDICAL ASSOCIATES INC
Group Practice Pac Id 8123291739
Number Of Group Practice Members 306
Line 1 Street Address 24530 FALCON PLACE BLVD
Line 2 Street Address SUITE 102
Marker Of Address Line 2 Suppression
City ABINGDON
State VA
Zip Code 242117665
Phone Number 2766196128
Hospital Affiliation Ccn 1 440012
Hospital Affiliation Lbn 1 WELLMONT BRISTOL REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 490053
Hospital Affiliation Lbn 2 JOHNSTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know SALLIE B LIVELY?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.