Organization
APPLEDORE MEDICAL GROUP-DIABETES RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDRICK JOHNSON (VP, HCA PHYSICIAN SERVICES)
(807) 237-7760
Entity
Organization
Contact information
Practice address
155 BORTHWICK AVE, PORTSMOUTH, NH 03801-7156
(603) 433-5160
Mailing address
155 BORTHWICK AVE, PORTSMOUTH, NH 03801-7156
(603) 433-5160
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
314
NH
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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