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Blue Ridge Medical Management Corporation
Cardiovascular Disease Physician in Kingsport, Tennessee
NPI 1487690434

Blue Ridge Medical Management Corporation is a Cardiovascular Disease Physician based in Kingsport, TN and is specialized in Cardiovascular Disease. Blue Ridge Medical Management Corporation practices in Kingsport, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1487690434 and holds a License No. (Tennessee).

The current practice location address for Blue Ridge Medical Management Corporation is 2205 Pavilion Dr, Kingsport, TN and can be reached out via phone at 423-857-7650 and via fax at 423-857-7655.

Location: 2205 Pavilion Dr, Kingsport, TN, 37660-4641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487690434
Provider Name
Blue Ridge Medical Management Corporation
Credential
Provider Entity Type
Organization
Address
2205 Pavilion Dr, Kingsport, TN, 37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA5744 01 TN RAILROAD MEDICARE
3716299 05 TN
1487690434 05 VA
7100080500 05 KY
020487806 01 TN DEPARTMENT OF LABOR
institution
Provider Business Practice Location Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider Business Mailing Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-7650
Fax Number
423-857-7655
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
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Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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