Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA TARTE (ENROLLMENT)
(423) 302-6565
Entity
Organization
Contact information
Practice address
1980 HOLTON AVE E STE 103, BIG STONE GAP, VA 24219-3367
(423) 302-3480
(423) 722-3009
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
06/30/2023
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