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Blue Ridge Medical Management Corporation
Pediatric Critical Care Medicine Physician in Johnson City, Tennessee
NPI 1811378854

Blue Ridge Medical Management Corporation is a Pediatric Critical Care Medicine Physician based in Johnson City, TN and is specialized in Pediatric Critical Care Medicine. Blue Ridge Medical Management Corporation practices in Johnson City, TN. The NPI Number for Blue Ridge Medical Management Corporation is 1811378854 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
1811378854
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
06/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1811378854 05 VA
Q013694 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
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
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Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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408 N State Of Franklin Rd,
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