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Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Active
Other names
Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TARTE (ENROLLMENT SUPERVISOR)
(423) 302-6565
Entity
Organization
Contact information
Practice address
1901 S SHADY ST STE 2, MOUNTAIN CITY, TN 37683-2021
(423) 547-7380
(423) 230-8367
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6567
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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