Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Pediatrics Physician · Johnson City, TN

NPI number 1386028215 Active

Practice location

400 N State Of Franklin Rd, Office Of Niswonger Ceo
Johnson City, TN 37604-6035

Fax (423) 431-3949

Specialties and licenses

Taxonomy	Code	License
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

175 other providers at this address

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NPI record

NPI: 1386028215
Entity type: Organization (Type 2)
Issued: Jul 9, 2015
Last updated: Mar 29, 2019
Status: Active

Other names

<unavail>
Ballad Health Medical Associates · doing business as
MSMG Hospital Pediatrics NSCH · doing business as
Bhma Pediatric Hospitalists NSCH · other name

Authorized official

Carl Steven 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 1386028215

Blue Ridge Medical Management Corporation's National Provider Identifier is 1386028215, issued on Jul 9, 2015. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Johnson City, TN. The record was last updated on Mar 29, 2019.