Blue Ridge Medical Management Corporation
NPI #1093120222 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1093120222
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jun 26, 2014
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 403 N STATE OF FRANKLIN RD
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6034
- Phone
- (423) 431-7047
Authorized Official
- Name
- MR. CARL S KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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