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BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION NPI 1932617271


NPI Information

NPI: 1932617271
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Organization

Specialization: Pediatric Orthopaedic Surgery

Address:
410 N STATE OF FRANKLIN RD STE 130
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-2477
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BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION is a pediatric orthopaedic surgery orthopaedic surgery in Johnson City, TN. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION NPI is 1932617271. The provider is registered as an organization entity type and is a single 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 STE 130
JOHNSON CITY, TN
ZIP 37604-972
Phone: (423) 431-2477
Fax: (423) 431-2478

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

The enumeration date for this NPI number is 1/22/2018 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XP3100XOrthopaedic SurgeryPediatric Orthopaedic SurgeryYes

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

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