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A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Psychiatry |
2084P0800X | 26 | Physician/Psychiatry |
| NPI Number | 1659475374 |
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| LBN Legal business name | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION | ||||
| Authorized official | C. KILGORE - (SENIOR VICE PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/12/2006 | ||||
| Last updated | 09/11/2025 - About 9 months ago | ||||
| Identifiers |
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
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| CHRISTOPHER A PENDOLA, MD 430 W RAVINE RD KINGSPORT, TN |
| ALI A GARATLI, MD 109 WEST WATAUGA AVENUE JOHNSON CITY, TN |
| SYED G HASAN, DO ETSU PSYCHIATRY AND BEHAVIORAL SCIENCES DEPARTMENT JOHNSON CITY, TN |
| MEDICAL EDUCATION ASSISTANCE CORPORATION 2109 W MARKET ST STE 140 JOHNSON CITY, TN |
| CLAY BLANCHETT, MD 403 N STATE OF FRANKLIN RD JOHNSON CITY, TN |
| DIANNE L HANSEN, MD JAMES H. QUILLEN/VAMC MOUNTAIN HOME, TN |
| PAUL R KELLEY, MD BUILDING 52 MOUNTAIN HOME, TN |
| GURMAN K SIDHU, MD DOGWOOD AVENUE MOUNTAIN HOME, TN |
| SHANTHA G PANDIAN, MD JAMES H.QUILLEN/VAMC MOUNTAIN HOME, TN |
| GEORGE H NARAMORE, MD 26 MIDWAY STREET BRISTOL, TN |
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION