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Organization
TRICITY PULMONARY MEDICINE LLC
Active
Organization
TRICITY PULMONARY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRLE R GIRISH M.D. (MD/OWNER)
(423) 612-0133
Entity
Organization
Contact information
Practice address
181 DUNLAP RD, BLOUNTVILLE, TN 37617-6333
(423) 323-7112
(423) 323-1393
Mailing address
PO BOX 3113, JOHNSON CITY, TN 37602-3113
(423) 915-1126
(423) 915-0635
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35140
TN
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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