Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Family Medicine Physician · Elizabethton, TN

NPI number 1255634564 Active

Practice location

1497 West Elk Ave, Suite 21
Elizabethton, TN 37643

Fax (423) 542-7425

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3 other providers at this address

Other family medicine physician providers in Elizabethton

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NPI record

NPI: 1255634564
Entity type: Organization (Type 2)
Issued: Dec 8, 2010
Last updated: Mar 29, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG FP Eliz · doing business as
Bhma Family Medicine Elizabethton · other name

Authorized official

Carl S Kilgore
President
(423) 302-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255634564

Blue Ridge Medical Management Corporation's National Provider Identifier is 1255634564, issued on Dec 8, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Elizabethton, TN. The record was last updated on Mar 29, 2019.