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Blue Ridge Medical Management Corporation
Hematology & Oncology Physician in Kingsport, Tennessee
NPI 1598995789

Blue Ridge Medical Management Corporation is a Hematology & Oncology Physician based in Kingsport, TN and is specialized in Hematology & Oncology. Blue Ridge Medical Management Corporation practices in Kingsport, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1598995789 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 423-857-6466 and via fax at 423-857-6456.

Location: 2205 Pavilion Dr, Kingsport, TN, 37660-4641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598995789
Provider Name
Blue Ridge Medical Management Corporation
Credential
Provider Entity Type
Organization
Address
2205 Pavilion Dr, Kingsport, TN, 37660-4641
Phone Number
423-857-6466
Fax Number
423-857-6456
Provider Enumeration Date
07/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1516429 05 TN
1598995789 05 VA
institution
Provider Business Practice Location Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-6466
Fax Number
423-857-6456
person
Provider Business Mailing Address Details
Address
2205 Pavilion Dr
City
Kingsport
State
Tennessee
Zip
37660-4641
Phone Number
423-857-6466
Fax Number
423-857-6456
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
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Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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