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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Active
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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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