BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1699188276

NPI Information

NPI: 1699188276
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG PULMONOLOGY OF KINGSPORT A

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
444 CLINCHFIELD ST
UNIT 201A
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-7650
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a pulmonary disease internal medicine in Kingsport, TN. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1699188276. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msmg Pulmonology Of Kingsport A.

The provider's business location address is:

444 CLINCHFIELD ST
UNIT 201A
KINGSPORT, TN
ZIP 37660-858
Phone: (423) 857-7650
Fax: (423) 857-7655

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

The enumeration date for this NPI number is 6/11/2014 and was last updated on 2/14/2017.

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
1	207RP1001X	Internal Medicine	Pulmonary Disease			Yes

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
1	1699188276	MEDICAID	VIRGINIA
2	3709285	MEDICARE PIN	TENNESSEE
3	Q009979	MEDICAID	TENNESSEE

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: 4/28/2024

NPI Synchronization or Removal

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