| Blue Ridge Gastroenterology, Pc | |
|
110 Dunhill Pl Nw Cleveland TN 37311-3883 | |
| (423) 614-4000 | |
| (423) 614-4107 |
| Full Name | Blue Ridge Gastroenterology, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 110 Dunhill Pl Nw, Cleveland, Tennessee |
| Authorized Official Name and Position | Marc L. Clark (PRESIDENT) |
| Authorized Official Contact | 4236144000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Gastroenterology, Pc 110 Dunhill Pl Nw Cleveland TN 37311-3883 Ph: (423) 614-4000 | Blue Ridge Gastroenterology, Pc 110 Dunhill Pl Nw Cleveland TN 37311-3883 Ph: (423) 614-4000 |
| NPI Number | 1891801296 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891801296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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