| Blue Ridge Family Medical Practice | |
|
627 Asheville Hwy Greeneville TN 37743-5401 | |
| (423) 636-1521 | |
| (423) 636-1523 |
| Full Name | Blue Ridge Family Medical Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 627 Asheville Hwy, Greeneville, Tennessee |
| Authorized Official Name and Position | Leslie W Foshie (FNP) |
| Authorized Official Contact | 4234700979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Family Medical Practice 627 Asheville Hwy Greeneville TN 37743-5401 Ph: (423) 636-1521 | Blue Ridge Family Medical Practice 627 Asheville Hwy Greeneville TN 37743-5401 Ph: (423) 636-1521 |
| NPI Number | 1508560723 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 7517316342 |
|---|---|
| Medicare Enrollment ID | O20231205003771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508560723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leslie W Foshie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386015931 PECOS PAC ID: 9537469481 Enrollment ID: I20151124002445 |
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