Organization · NPI-2

Blue Ridge Medical Management Corporation

Internal Medicine · Greeneville, TN

NPI number1508430851

StatusActive

Last updated in NPPESMay 1, 2025

Details

NPI: 1508430851
Entity type: Organization (NPI-2)
Legal business name: Blue Ridge Medical Management Corporation
Organization subpart: No
Enumeration date: May 19, 2021
Certification date: May 1, 2025
Last updated: May 1, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Other names

Ballad Health Medical Associates (Doing Business As)

Practice location

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Phone 423-787-6351

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192

Phone 423-952-2111 · Fax 423-282-1657

Authorized official

Juanita Harwood
Director
4233026565

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