Organization
MOUNTAIN STATES HEALTH ALLIANCE
Active
Other names
Ballad Health Cancer Care at Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TARTE (ENROLLMENT SUPERVISOR)
(423) 302-6565
Entity
Organization
Contact information
Practice address
1 PROFESSIONAL PARK DR STE 21, JOHNSON CITY, TN 37604-6909
(423) 232-6900
(423) 232-6903
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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