Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Trauma Surgery Physician · Johnson City, TN

NPI number 1093016024 Active

Practice location

410 N State Of Franklin Rd, Suite 130
Johnson City, TN 37604-6971

Call (423) 431-2477 Map

Fax (423) 431-2478

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Trauma Physician 207XX0801XNone listed
Surgery Physician 208600000XNone listed
Trauma Surgery Physician Primary 2086S0127XNone listed
Surgical Physician Assistant 363AS0400XNone listed
Nurse Practitioner 363L00000XNone listed

Trauma Surgery Physician: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification …

18 other providers at this address

About NPI 1093016024

Blue Ridge Medical Management Corporation's National Provider Identifier is 1093016024, issued on Nov 8, 2010. The primary taxonomy on file is Trauma Surgery Physician (2086S0127X), and the practice location is in Johnson City, TN. The record was last updated on Mar 28, 2019.