| Dragonfly Medical And Behavioral Health | |
|
102 N Broadway St Johnson City TN 37601-3525 | |
| (423) 588-9978 | |
| (423) 722-3401 |
| Full Name | Dragonfly Medical And Behavioral Health |
|---|---|
| Speciality | Family Medicine |
| Location | 102 N Broadway St, Johnson City, Tennessee |
| Authorized Official Name and Position | Matthew John Caffrey (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4235889978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dragonfly Medical And Behavioral Health 216 Quail Run Ct Johnson City TN 37601-5364 Ph: (423) 525-7488 | Dragonfly Medical And Behavioral Health 102 N Broadway St Johnson City TN 37601-3525 Ph: (423) 588-9978 |
| NPI Number | 1689134231 |
|---|---|
| Provider Enumeration Date | 03/20/2019 |
| Last Update Date | 09/30/2019 |
| Medicare PECOS PAC ID | 2163816703 |
|---|---|
| Medicare Enrollment ID | O20220225000386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689134231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | (* (Not Available)) | Primary |
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