Blue Ridge Medical Management Corporation

NPI #1922574474 in Johnson City, Tennessee

Provider Information

NPI Number: 1922574474
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Oct 22, 2018
Last Updated: May 2, 2025

Practice Location

Address: 410 N STATE OF FRANKLIN RD STE 135B
City: Johnson City
State: Tennessee
ZIP Code: 37604-6972
Phone: (423) 431-2350

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Internal Medicine	207R00000X	Primary

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