Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation provides Psychiatry Physician services in Kingsport, Tennessee. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
2300 Pavilion DrKingsport, TN 37660-4622
Phone: (423) 857-5720
Fax: (423) 857-5720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1144231119 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | C Kilgore — Senior Vice President · (423) 915-5185 |
| Other names | Dba Blue Ridge Psychiatry |
| NPI enumerated | August 11, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2300 Pavilion Dr, Kingsport, TN 37660-4622 |
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Pedro A Bauza-Feliciano, MD
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