| Blue Ridge Medical Management Corp | |
|
1905 American Way Kingsport TN 37660-5882 | |
| (423) 578-8451 | |
| (423) 230-8224 |
| Full Name | Blue Ridge Medical Management Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1905 American Way, Kingsport, Tennessee |
| Authorized Official Name and Position | Laraine Dover (DIRECTOR) |
| Authorized Official Contact | 4239522124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corp 509 Med Tech Pkwy Ste 100 Johnson City TN 37604-2579 Ph: (423) 302-6565 | Blue Ridge Medical Management Corp 1905 American Way Kingsport TN 37660-5882 Ph: (423) 578-8451 |
| NPI Number | 1588326839 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588326839 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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