Blue Ridge Medical Management Corporation

NPI #1053762112 in Johnson City, Tennessee

Provider Information

NPI Number: 1053762112
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jun 29, 2016
Last Updated: May 2, 2025

Practice Location

Address: 310 N STATE OF FRANKLIN RD
Address 2: STE 301A
City: Johnson City
State: Tennessee
ZIP Code: 37604-6008
Phone: (423) 431-6816

Authorized Official

Name: MR. CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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