Blue Ridge Medical Management Corp

NPI #1588326839 in Kingsport, Tennessee

Provider Information

NPI Number: 1588326839
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corp
Primary Specialty: Family Medicine
Enumeration Date: Oct 13, 2021
Last Updated: Oct 13, 2021

Practice Location

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

Authorized Official

Name: LARAINE DOVER
Title: DIRECTOR
Phone: (423) 952-2124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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