Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management Corporation

Organization Plastic Surgery Physician · NPI 1801549522

Blue Ridge Medical Management Corporation is a Plastic Surgery Physician 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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