Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Management Corporation

Organization Plastic Surgery Physician · NPI 1801549522

Blue Ridge Medical Management Corporation provides Plastic Surgery Physician services in Johnson City, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

410 N State Of Franklin Rd
Johnson City, TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1801549522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patricia Tarte — Enrollment Team Lead · (423) 302-6567
NPI enumeratedFebruary 2, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579

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