Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Psychiatry Physician · Johnson City, TN

NPI number 1073801072 Active

Practice location

2 Professional Park Dr, Suite 15
Johnson City, TN 37604-6583

Fax (423) 979-0569

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

5 other providers at this address

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NPI record

NPI: 1073801072
Entity type: Organization (Type 2)
Issued: Jul 12, 2011
Last updated: Mar 28, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG Beh HLTH JC A · doing business as
Bhma Behavioral Health Eap JC · other name

Authorized official

Carl Steven Kilgore
President
(423) 302-3051

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About NPI 1073801072

Blue Ridge Medical Management Corporation's National Provider Identifier is 1073801072, issued on Jul 12, 2011. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Johnson City, TN. The record was last updated on Mar 28, 2019.