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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
7021 WEST LEE HIGHWAY
SUITE C
RURAL RETREAT, VA24368
 Phone: 866-595-3662
 Fax: 276-686-6046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION · (Female)

NPI # 1447543996
Status Active
Credentials
Entity Individual
Enumeration date 05/17/2011
Last updated 05/02/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • VA Medicaid 1447543996
  • VA Other 020487814 DEPARTMENT OF LABOR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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