Organization
HIGHLAND SPRINGS MEDICAL PC
Active
Organization
HIGHLAND SPRINGS MEDICAL PC
Active
Other names
Pain Management of Washington Cty
Organization subpart
No
Provider details
NPI number
Authorized official
RICAHRD BOLEYN (PRESIDENT)
(865) 330-6320
Entity
Organization
Contact information
Practice address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(865) 330-6320
Mailing address
3114 BROWNS MILL RD, JOHNSON CITY, TN 37604-1417
(865) 330-6320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC1804
TN
207R00000X
Internal Medicine Physician
Primary
MD018742
TN
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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