Organization
BLAIR PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA C BLAIR FNP-BC (NURSE PRACTITIONER)
(423) 263-5400
Entity
Organization
Contact information
Practice address
315 GRADY RD, ETOWAH, TN 37331-1903
(423) 263-5400
(423) 263-0674
Mailing address
PO BOX 842, ETOWAH, TN 37331-0842
(423) 263-5400
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18159
TN
Other
Enumeration date
06/25/2016
Last updated
06/25/2016
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