Individual
RONALD L BLACKMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-4006
(423) 794-1800
(423) 794-1801
Mailing address
101 MED TECH PARKWAY, STE 100, JOHNSON CITY, TN 37604
(423) 794-1800
(423) 794-1801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD31358
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3117550
BCBS
TN
05
—
3839980
—
TN
01
—
TN01N8
JOHN DEERE
TN
Enumeration date
04/17/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us