Blue Ridge Medical Management Corp

NPI #1528723251 in Kingsport, Tennessee

Provider Information

NPI Number: 1528723251
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corp
Primary Specialty: Family Medicine
Enumeration Date: Nov 8, 2021
Last Updated: Oct 1, 2024

Practice Location

Address: 1905 AMERICAN WAY
City: Kingsport
State: Tennessee
ZIP Code: 37660-5882
Phone: (423) 578-8451

Authorized Official

Name: CARL KILGORE
Title: EXECUTIVE
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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