Blue Ridge Medical Management Corporation

NPI #1992105431 in Kingsport, Tennessee

Provider Information

NPI Number: 1992105431
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Pediatrics
Enumeration Date: Sep 3, 2014
Last Updated: May 2, 2025

Practice Location

Address: 2002 BROOKSIDE DR
Address 2: SUITE 200
City: Kingsport
State: Tennessee
ZIP Code: 37660-4634
Phone: (423) 224-3933

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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