Blue Ridge Medical Management Corporation

NPI #1003273251 in Johnson City, Tennessee

Provider Information

NPI Number
1003273251
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Internal Medicine - Cardiovascular Disease
Enumeration Date
Jan 19, 2016
Last Updated
Mar 28, 2019

Practice Location

Address
400 N STATE OF FRANKLIN RD
Address 2
ROOM LK015
ZIP Code
37604
Phone
(423) 431-5965

Authorized Official

Name
CARL STEVEN KILGORE
Title
PRESIDENT/CEO
Phone
(423) 302-3051

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Cardiovascular DiseaseCardiovascular Disease

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