Msmg Neurosurg Gr

LBN: Blue Ridge Medical Management Corporation
Msmg Neurosurg Gr is an health care organization with primary practice located at 438 E Vann Rd Suite 200, Greeneville TN 37743-7202. 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) 278-1704, or through Kilgore, Carl Steven via phone (423) 915-5116.

Contact Information

Primary practice address
438 E Vann Rd Suite 200 Greeneville TN 37743-7202
Phone: (423) 278-1704
Fax: (423) 278-1806
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 1215048368
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Neurosurg Gr
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 29th, 2010 - about 15 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 1215048368 NPPES
Tennessee MEDICAID 3719387

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