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Blue Ridge Medical Management Corporation
Surgical Physician Assistant in Johnson City, Tennessee
NPI 1215082730

Blue Ridge Medical Management Corporation is a Surgical Physician Assistant based in Johnson City, TN and is specialized in Surgical. Blue Ridge Medical Management Corporation practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1215082730 and holds a License No. (Tennessee).

The current practice location address for Blue Ridge Medical Management Corporation 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215082730
Provider Name
Blue Ridge Medical Management Corporation
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
01/24/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3732723 05 TN
7100008280 05 KY
7100170580 05 KY
DF7910 01 TN RAILROAD MEDICARE
020487811 01 TN DEPARTMENT OF LABOR/FECA
1215082730 05 VA
institution
Provider Business Practice Location Address Details
Address
310 N State Of Franklin Rd
City
Johnson City
State
Tennessee
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
Johnson City
State
Tennessee
Zip
37604-6008
Phone Number
423-929-7393
Fax Number
423-929-0872
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
()
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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