NPI 1003152307

Blue Ridge Medical Management Corporation

Organisation Neurological Surgery Physician Johnson City, TN

Practice location

Address: 410 N State of Franklin Rd Suite 120, Johnson City, TN 37604-6971
Phone: (423) 431-2350
Fax: (423) 431-2372

Authorised official

Name: Carl Steven Kilgore
Title: President / Ceo
Phone: (423) 302-3051

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Tennessee →

Registry record

NPI: 1003152307
Entity type: Organization
NPI issued: 14 Dec 2012
Record last updated: 28 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.