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Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN37604-6972
 Phone: 423-431-2477
 Fax: 423-431-2478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pediatric Orthopaedic Surgery

207XP3100X 02 Physician/General Surgery
 

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1932617271
Status Active
Credentials
Entity Individual
Enumeration date 01/22/2018
Last updated 05/02/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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