Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Neurology Physician · Johnson City, TN

NPI number 1659776375 Active

Practice location

410 N State Of Franklin Rd, Suite 135
Johnson City, TN 37604-6971

Fax (423) 431-2372

Specialties and licenses

Taxonomy	Code	License
Neurology Physician Primary	2084N0400X	None listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

18 other providers at this address

Other neurology physician providers in Johnson City

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NPI record

NPI: 1659776375
Entity type: Organization (Type 2)
Issued: Oct 23, 2014
Last updated: Mar 29, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG Neurology JC · doing business as
Bhma Neurohospitalists Johnson City · other name

Authorized official

Carl Steven Kilgore
President / CEO
(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 1659776375

Blue Ridge Medical Management Corporation's National Provider Identifier is 1659776375, issued on Oct 23, 2014. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Johnson City, TN. The record was last updated on Mar 29, 2019.