Blue Ridge Family Medical Practice
Family Medicine in Greeneville, TN. Organization (NPI-2).
NPI number1508560723
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1508560723
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Family Medical Practice
- Organization subpart
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
1140 Tusculum BlvdGreeneville, TN 37745-4039
Phone 423-525-5462 · Fax 423-525-5232
Mailing address
1140 Tusculum BlvdGreeneville, TN 37745-4039
Phone 423-525-5462 · Fax 423-525-5232
Authorized official
Leslie W Foshie
Fnp
4234700979
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