Blue Ridge Medical Management Corporation
NPI #1134400039 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1134400039
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Sep 6, 2011
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 408 N STATE OF FRANKLIN RD
- Address 2
- SUITE 24
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6089
- Phone
- (423) 431-1810
Authorized Official
- Name
- CARL STEVE KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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