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Blue Ridge Medical Management Corporation
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1134500218

Blue Ridge Medical Management Corporation is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Blue Ridge Medical Management Corporation practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1134500218 and holds a License No. (Tennessee).

The current practice location address for Blue Ridge Medical Management Corporation is 408 N State Of Franklin Rd, Johnson City, TN and can be reached out via phone at 423-431-4946 and via fax at 423-431-4947. You can also correspond with Blue Ridge Medical Management Corporation through the mailing address at 408 N STATE OF FRANKLIN RD, JOHNSON CITY, TN - 37604-6089 (mailing address contact number: 423-431-4946).

Location: 408 N State Of Franklin Rd, Johnson City, TN, 37604-6089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134500218
Provider Name
Blue Ridge Medical Management Corporation
Credential
Provider Entity Type
Organization
Address
408 N State Of Franklin Rd, Johnson City, TN, 37604-6089
Phone Number
423-431-4946
Fax Number
423-431-4947
Provider Enumeration Date
06/15/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134500218 05 VA
Q013693 05 TN
institution
Provider Business Practice Location Address Details
Address
408 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6089
Phone Number
423-431-4946
Fax Number
423-431-4947
person
Provider Business Mailing Address Details
Address
408 N State Of Franklin Rd
City
Johnson City
State
Tennessee
Zip
37604-6089
Phone Number
423-431-4946
Fax Number
423-431-4947
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
2080P0008X
License No.
()
Definition
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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