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Blue Ridge Medical Management Corporation
Vascular & Interventional Radiology Physician in Johnson City, Tennessee
NPI 1043688385

Blue Ridge Medical Management Corporation is a Vascular & Interventional Radiology Physician based in Johnson City, TN and is specialized in Vascular & Interventional Radiology. Blue Ridge Medical Management Corporation practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1043688385 and holds a License No. (Tennessee).

The current practice location address for Blue Ridge Medical Management Corporation is 410 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-4866 and via fax at 423-431-2372.

Location: 410 N State Of Franklin Rd, Johnson City, TN, 37604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043688385
Provider Name
Blue Ridge Medical Management Corporation
Credential
Provider Entity Type
Organization
Address
410 N State Of Franklin Rd, Johnson City, TN, 37604
Phone Number
423-431-4866
Fax Number
423-431-2372
Provider Enumeration Date
09/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
622480000 01 TN DEPARTMENT OF LABOR
CA5744 01 TN RAILROAD MEDICARE
1043688385 05 VA
Q014763 05 TN
institution
Provider Business Practice Location Address Details
Address
410 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-431-4866
Fax Number
423-431-2372
person
Provider Business Mailing Address Details
Address
410 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604
Phone Number
423-431-4866
Fax Number
423-431-2372
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
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Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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