Individual
SAMANTHA N BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 BUFFALO ST, SUITE 8, JOHNSON CITY, TN 37604-6900
(423) 381-5655
Mailing address
802 BUFFALO ST, SUITE 8, JOHNSON CITY, TN 37604-6900
(423) 381-5655
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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