BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1659776375

NPI Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a neurology psychiatry neurology in Johnson City, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1659776375. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

410 N STATE OF FRANKLIN RD
SUITE 135
JOHNSON CITY, TN
ZIP 37604-971
Phone: (423) 431-2350
Fax: (423) 431-2372

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

The enumeration date for this NPI number is 10/23/2014 and was last updated on 3/29/2019.

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:

Other Identifiers

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