| Blue Ridge Medical Management C Orporation | |
|
403 Princeton Rd Ste 10 Johnson City TN 37601-2062 | |
| (423) 431-7340 | |
| (423) 431-7345 |
| Full Name | Blue Ridge Medical Management C Orporation |
|---|---|
| Speciality | Clinic/center |
| Location | 403 Princeton Rd Ste 10, Johnson City, Tennessee |
| Authorized Official Name and Position | Marvin Eichorn (EXC VP) |
| Authorized Official Contact | 4233023272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management C Orporation 509 Med Tech Pkwy Ste 100 Johnson City TN 37604-2579 Ph: (423) 952-2111 | Blue Ridge Medical Management C Orporation 403 Princeton Rd Ste 10 Johnson City TN 37601-2062 Ph: (423) 431-7340 |
| NPI Number | 1861013864 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861013864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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