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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Active
Parent organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Other names
Ballad Health Medcial Associates, BHMA Pediatrics Johnson City
Organization subpart
Yes

Provider details

NPI number
Legal business name
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official
PATRICIA TARTE (ENROLLMENT SUPERVISOR)
(423) 302-6565
Entity
Organization

Contact information

Practice address
1021 W OAKLAND AVE STE 301, JOHNSON CITY, TN 37604-2192
(423) 952-8000
(423) 952-8001
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/04/2023
Last updated
10/04/2023
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