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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1255769501


NPI Information

NPI: 1255769501
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG TRAUMA JC

Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
408 N STATE OF FRANKLIN RD
SUITE 31
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-2477
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a physician assistant in Johnson City, TN. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1255769501. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Msmg Trauma Jc.

The provider's business location address is:

408 N STATE OF FRANKLIN RD
SUITE 31
JOHNSON CITY, TN
ZIP 37604-089
Phone: (423) 431-2477
Fax: (423) 431-2478

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5000.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.


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
1363A00000XPhysician AssistantYes

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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