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Blue Ridge Medical Management Corporation
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1619349578

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 1619349578 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.

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
1619349578
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
10/30/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q020024 05 TN
1619349578 05 VA
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
Pediatric Gastroenterology
Taxonomy
2080P0206X
License No.
()
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
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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