BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Organization (NPI-2)
Active
Pediatrics
Provider Information
- NPI Number
1386028215- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 400 N STATE OF FRANKLIN RD OFFICE OF NISWONGER CEO, JOHNSON CITY, TN, 376046035
- Phone
- (423) 431-4847
- Fax
- (423) 431-3949
Specialties & Taxonomies
Pediatrics
Primary
All Addresses
LOCATION
400 N STATE OF FRANKLIN RD OFFICE OF NISWONGER CEO
JOHNSON CITY, TN, 376046035
MAILING
400 N STATE OF FRANKLIN RD OFFICE OF NISWONGER CEO
JOHNSON CITY, TN, 376046035