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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1396049938


NPI Information

NPI: 1396049938
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG PEDS KPT

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2204 PAVILION DR
SUITE 210
KINGSPORT, TN
ZIP 37660
Phone: (423) 224-3933
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a pediatrics in Kingsport, TN. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1396049938. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msmg Peds Kpt.

The provider's business location address is:

2204 PAVILION DR
SUITE 210
KINGSPORT, TN
ZIP 37660-657
Phone: (423) 224-3933
Fax: (423) 224-3934

The provider's authorized official is Carl S Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5100.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 12/22/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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