Organization
BLUE RIDGE NEUROSCIENCE CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA G ROYSTON (BOOKKEEPER)
(423) 392-2887
Entity
Organization
Contact information
Practice address
2 SHERIDAN SQ, STE 200, KINGSPORT, TN 37660-7399
(423) 392-2887
(423) 246-8278
Mailing address
2 SHERIDAN SQ, STE 200, KINGSPORT, TN 37660-7399
(423) 392-2887
(423) 246-8278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
11/27/2007
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