Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Parent organization
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Other names
BHMA Wound Care SCCH, Ballad Health Medical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Authorized official
PATRICIA TARTE (ENROLLMENT SUPERVISOR)
(423) 302-6565
Entity
Organization
Contact information
Practice address
245 MEDICAL PARK DR, MARION, VA 24354-1100
(276) 378-3106
(276) 378-3205
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/29/2023
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