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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1629310115


NPI Information

NPI: 1629310115
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: MSMG IM UNI

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3614 UNICOI DR
UNICOI, TN
ZIP 37692
Phone: (423) 743-7151
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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an internal medicine in Unicoi, TN. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1629310115. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Msmg Im Uni.

The provider's business location address is:

3614 UNICOI DR
UNICOI, TN
ZIP 37692-860
Phone: (423) 743-7151
Fax: (423) 743-7059

The provider's authorized official is Carl Steven Kilgore .
The authorized official title is President and has the following contact phone number (423) 952-2122.

The enumeration date for this NPI number is 3/22/2013 and was last updated on 9/21/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1020487840OTHERTENNESSEEDEPT OF LABOR
2CA5744OTHERTENNESSEERR MEDICARE
33709285MEDICARE PINTENNESSEE
41532914MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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