HomeNPI Verification

NPI Verification

National Provider Identifier: 1962883678

Blue Ridge Medical Management Corporation

Organization

Primary Specialty

Internal Medicine

Code: 207R00000X

All Specialties (4)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Pediatrics, Pediatric Endocrinology

Code: 2080P0205X

Nurse Practitioner, Family

Code: 363LF0000X

Internal Medicine

Code: 207R00000X

Primary

Practice Address

408 N STATE OF FRANKLIN RD

SUITE 31B

JOHNSON CITY, TN 376046089

Phone: 423-431-4946

NPI Enumeration Date

June 18, 2015

NPI Number

1962883678

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