DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION NPI 1689134231

NPI Information

DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION is an addiction medicine family medicine in Johnson City, TN. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH PROFESSSIONAL CORPORATION NPI is 1689134231. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dragonfly Medical And Behavioral Health.

The provider's business location address is:

102 N BROADWAY ST
JOHNSON CITY, TN
ZIP 37601-525
Phone: (423) 588-9978
Fax: (423) 722-3401

The provider's authorized official is Matthew John Caffrey .
The authorized official title is Medical Director and has the following contact phone number (423) 588-9978.

The CLIA number assigned to this NPI record is 44D2168541 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 9/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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