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Blue Ridge Medical Management Corporation
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1962883678

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 1962883678 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
1962883678
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
06/18/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962883678 05 VA
Q013929 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 Endocrinology
Taxonomy
2080P0205X
License No.
()
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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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