Ridgecrest Medical Llc

NPI 1124421847 - Family Medicine - 207Q00000X

NPI Details
NPI 1124421847
Enumeration Date 10/08/2014
Last Updated 10/08/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PRISCILLA PRISCILLA
Position PRESIDENT
Phone (423) 353-1152
Fax (423) 353-1157
Practice Location
1907 W MORRIS BLVD
SUITE 300A
MORRISTOWN TN, 37813-3860, US
Phone (423) 353-1152
Fax (423) 353-1157
Business Location
1907 W MORRIS BLVD
SUITE 300A
MORRISTOWN TN, 37813-3860, US
Phone (423) 353-1152
Fax (423) 353-1157
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 962
Remove 1124421847 NPI Number
 

According to our database, Ridgecrest Medical Llc NPI is 1124421847, taxonomy code is 207Q00000X and license number is 962, license state is located at Tennessee. Ridgecrest Medical Llc physically located at 1907 W Morris Blvd, Morristown TN, 37813-3860. NPI Number 1033115704 has the healthcare provider type.

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1124421847 NPI number is provided on an as is basis without warranty of any kind. 1124421847 is maintained by the National Plan & Provider Enumeration System. The contents of Ridgecrest Medical Llc are for informational purposes only.