Blue Ridge Medical Management Corporation
NPI #1134500218 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1134500218
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 15, 2015
- Last Updated
- May 2, 2025
Practice Location
- Address
- 408 N STATE OF FRANKLIN RD
- Address 2
- SUITE 31C
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6089
- Phone
- (423) 431-4946
Authorized Official
- Name
- MR. CARL STEVE KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Neurodevelopmental Disabilities — Neurodevelopmental Disabilities |
| Nurse Practitioner - Family — Family |
| Internal Medicine |
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