Msmg Vascular Surgery Jc

LBN: Blue Ridge Medical Management
Msmg Vascular Surgery Jc is an health care organization with primary practice located at 310 N State Of Franklin Rd Suite 101B, Johnson City TN 37604-6008. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Blue Ridge Medical Management can be contacted via phone (423) 929-7393, or through Kilgore, Carl Steven via phone (423) 915-5185.

Contact Information

Primary practice address
310 N State Of Franklin Rd Suite 101B Johnson City TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
Website:
Map and Directions
Authorized official contact:
Name: Kilgore, Carl Steven
Phone: (423) 915-5185

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 48573 Tennessee

Profile Details

NPI number 1114340445
LBN Legal business name Blue Ridge Medical Management
DBA Doing business as Msmg Vascular Surgery Jc
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2014
Last updated Feb 27th, 2017 - about 9 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 1114340445 NPPES
Virginia Other C09112 MEDICARE

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