Msmg Neurosurg Jc

LBN: Blue Ridge Medical Management Corporation
Msmg Neurosurg Jc is an health care organization with primary practice located at 408 N State Of Franklin Rd Suite 42, Johnson City TN 37604-6089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (423) 431-2350, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
408 N State Of Franklin Rd Suite 42 Johnson City TN 37604-6089
Phone: (423) 431-2350
Fax: (423) 431-2372
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5116

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1073555934
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Neurosurg Jc
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 4th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073555934 NPPES
Tennessee MEDICAID 3377139

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