Organization
BLUE RIDGE PULMONARY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S. JAGGERS III (PRESIDENT)
(423) 476-2212
Entity
Organization
Contact information
Practice address
110 DUNHILL PL NW, CLEVELAND, TN 37311-3883
(423) 476-2212
(423) 476-7022
Mailing address
110 DUNHILL PL NW, CLEVELAND, TN 37311-3883
(423) 476-2212
(423) 476-7022
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3702756
—
TN
Enumeration date
05/28/2006
Last updated
06/01/2009
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