Blue Ridge Medical Management Corporation
NPI #1073801072 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1073801072
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jul 12, 2011
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 2 PROFESSIONAL PARK DR
- Address 2
- SUITE 15
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6583
- Phone
- (423) 979-0565
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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