Blue Ridge Medical Managgement Corporation

NPI #1649518309 in Kingsport, Tennessee

Provider Information

NPI Number: 1649518309
Entity Type: Organization
Organization Name: Blue Ridge Medical Managgement Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2013
Last Updated: Oct 7, 2025

Practice Location

Address: 4600 FORT HENRY DR
City: Kingsport
State: Tennessee
ZIP Code: 37663
Phone: (423) 224-3950

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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