BLUE RIDGE MEDICAL MANGEMENT CORPORATION NPI 1043739881

NPI Information

BLUE RIDGE MEDICAL MANGEMENT CORPORATION is a vascular surgery surgery in Johnson City, TN. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BLUE RIDGE MEDICAL MANGEMENT CORPORATION NPI is 1043739881. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

2 PROFESSIONAL PARK DR STE 11
JOHNSON CITY, TN
ZIP 37604-584
Phone: (423) 434-7400
Fax: (423) 434-7401

The provider's authorized official is Carl S. Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 9/13/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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