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BLUE RIDGE MEDICAL MANAGEMENT NPI 1689053753


NPI Information

NPI: 1689053753
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT

Doing Business As: REGIONAL CANCER CENTER AT SSH

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

Address:
1497 W ELK AVE
SUITE 20B
ELIZABETHTON, TN
ZIP 37643
Phone: (423) 232-6900
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BLUE RIDGE MEDICAL MANAGEMENT is a medical oncology internal medicine in Elizabethton, TN. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. BLUE RIDGE MEDICAL MANAGEMENT NPI is 1689053753. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Regional Cancer Center At Ssh.

The provider's business location address is:

1497 W ELK AVE
SUITE 20B
ELIZABETHTON, TN
ZIP 37643-895
Phone: (423) 232-6900
Fax: (423) 232-6903

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5116.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 11/18/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RX0202XInternal MedicineMedical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13709285MEDICARE PINTENNESSEE

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: 5/5/2024

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