Blue Ridge Medical Management Corporation

NPI #1467575001 in Kingsport, Tennessee

Provider Information

NPI Number: 1467575001
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Apr 9, 2007
Last Updated: Mar 31, 2011

Practice Location

Address: 2202 N JOHN B DENNIS HWY
Address 2: SUITE 204
City: Kingsport
State: Tennessee
ZIP Code: 37660-5904
Phone: (423) 229-7777

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 915-5185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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