Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Cardiovascular Disease Physician · Elizabethton, TN

NPI number 1609179910 Active

Practice location

1497 W Elk Ave Ste 22A
Elizabethton, TN 37643-2896

Fax (423) 547-0577

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

NPI record

NPI: 1609179910
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 Cardiology Eliz · doing business as
Bhma Heart and Vascular Care Elizabethton · other name

Authorized official

Carl S Kilgore
Enrollment
(423) 302-3051

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About NPI 1609179910

Blue Ridge Medical Management Corporation's National Provider Identifier is 1609179910, issued on Dec 8, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Elizabethton, TN. The record was last updated on Mar 29, 2019.