NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1417453440 |   |   |   | BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION | 701 MED TECH PKWY STE 300 | JOHNSON CITY | TN | 376042365 |
1528482924 | DOUGLAS | ERIN |   |   | 701 MED TECH PKWY | JOHNSON CITY | TN | 376042365 |
1629088364 | FULLAGAR | TIMOTHY | MICHAEL |   | 701 MED TECH PKWY | JOHNSON CITY | TN | 37604 |
1750518544 | KOMINEK | SELMA |   |   | 701 MED TECH PKWY | JOHNSON CITY | TN | 376042365 |
1033156807 | MCLAUGHLIN | STEVEN | J |   | PO BOX 9150 | PADUCAH | KY | 420029150 |
1942247713 | WALLS | JASON | KENDALL |   | PO BOX 4673 | JOHNSON CITY | TN | 376024673 |