Graduated: 2022
NPI: 1063123412
Practice Locations (3)
WPS PROVIDERS INC
3 PROFESSIONAL PARK DR, SUITE 31
JOHNSON CITY, TN 376046529
4234343570
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 376046035
4234314847
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
16000 JOHNSON MEMORIAL DR
ABINGDON, VA 242117664
2762584050
Source: CMS National Downloadable File, September 2026.