Blue Ridge Medical Management Corporation

NPI #1730401209 in Kingsport, Tennessee

Provider Information

NPI Number: 1730401209
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Family Medicine
Enumeration Date: Feb 24, 2010
Last Updated: Mar 29, 2019

Practice Location

Address: 2204 PAVILION DR
Address 2: SUITE 310
City: Kingsport
State: Tennessee
ZIP Code: 37660-4653
Phone: (423) 224-3900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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