institution
Blue Ridge Medical Management
Vascular Surgery Physician in Johnson City, Tennessee
NPI 1114340445

Blue Ridge Medical Management is a Vascular Surgery Physician based in Johnson City, TN and is specialized in Vascular Surgery. Blue Ridge Medical Management practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management is 1114340445 and holds a License No. 48573 (Tennessee).

The current practice location address for Blue Ridge Medical Management is 310 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-929-7393 and via fax at 423-929-0872.

Location: 310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
institution
Provider Profile Details
NPI Number
1114340445
Provider Name
Blue Ridge Medical Management
Credential
Provider Entity Type
Organization
Address
310 N State Of Franklin Rd, Johnson City, TN, 37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
Provider Enumeration Date
01/22/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C09112 01 VA MEDICARE
institution
Provider Business Practice Location Address Details
Address
310 N State Of Franklin Rd
City
State
Zip
37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
person
Provider Business Mailing Address Details
Address
310 N State Of Franklin Rd
City
State
Zip
37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
48573 (Tennessee)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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