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Organization
BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Active
Other names
Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TARTE (ENROLLMENT)
(423) 302-6565
Entity
Organization
Contact information
Practice address
408 N STATE OF FRANKLIN RD STE 31A, JOHNSON CITY, TN 37604-6088
(423) 431-4946
(423) 431-4947
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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