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
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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