Blue Ridge Medical Management Corpoartion

NPI #1629778725 in Bristol, Tennessee

Provider Information

NPI Number: 1629778725
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corpoartion
Primary Specialty: Urology
Enumeration Date: Mar 7, 2023
Last Updated: Mar 7, 2023

Practice Location

Address: 1 MEDICAL PARK BLVD
City: Bristol
State: Tennessee
ZIP Code: 37620-7430
Phone: (423) 844-1121

Authorized Official

Name: PATRICIA TARTE
Title: ENROLLMENT SUPERVISOR
Phone: (423) 302-6565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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