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NPI Verification

National Provider Identifier: 1568958775

Blue Ridge Medical Management Corporation

Organization

Primary Specialty

Urology, Pediatric Urology

Code: 2088P0231X

Practice Address

408 N STATE OF FRANKLIN RD STE 31F

JOHNSON CITY, TN 376046088

Phone: 423-431-4946

NPI Enumeration Date

July 11, 2018

NPI Number

1568958775

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Blue Ridge Medical Management Corporation - NPI 1568958775 | Provider Verification | HormoneMap