Blue Ridge Medical Management Corporation

NPI #1912910597 in Kingsport, Tennessee

Provider Information

NPI Number: 1912910597
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Aug 14, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2205 PAVILION DR
City: Kingsport
State: Tennessee
ZIP Code: 37660-4641
Phone: (423) 392-5010

Authorized Official

Name: C STEVEN KILGORE
Title: SENIOR VICE PRESIDENT
Phone: (423) 915-5185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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