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BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION NPI 1417683095


NPI Information

NPI: 1417683095
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
1980 HOLTON AVE E STE 103
BIG STONE GAP, VA
ZIP 24219
Phone: (423) 302-3480
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BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION is a psychiatry psychiatry neurology in Big Stone Gap, VA. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION NPI is 1417683095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1980 HOLTON AVE E STE 103
BIG STONE GAP, VA
ZIP 24219-367
Phone: (423) 302-3480
Fax: (423) 722-3009

The provider's authorized official is Patricia Tarte .
The authorized official title is Enrollment and has the following contact phone number (423) 302-6565.

The enumeration date for this NPI number is 7/27/2022 and was last updated on 6/30/2023.


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
12084P0800XPsychiatry & NeurologyPsychiatryYes

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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