# TRICITY PULMONARY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285986885
- **Authorized official:** DR. MIRLE R GIRISH M.D. (MD/OWNER)
- **Authorized official phone:** (423) 612-0133

## Contact information

- **Practice address:** 181 DUNLAP RD, BLOUNTVILLE, TN 37617-6333
- **Practice address phone:** (423) 323-7112
- **Practice address fax:** (423) 323-1393
- **Mailing address:** PO BOX 3113, JOHNSON CITY, TN 37602-3113
- **Mailing address phone:** (423) 915-1126
- **Mailing address fax:** (423) 915-0635

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 35140 | TN | Yes |

## Other

- **Enumeration date:** 10/05/2012
- **Last updated:** 10/05/2012