Individual
JUSTIN RYAN DREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
215 HEDRICK DR, NEWPORT, TN 37821-2902
(423) 623-5301
(423) 625-0808
Mailing address
6350 W A J HWY, DEPARTMENT 100, TALBOTT, TN 37877
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/26/2009
Last updated
09/29/2010
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