NPI 1003273251

Blue Ridge Medical Management Corporation

Organisation Cardiovascular Disease Physician Johnson City, TN

Practice location

Address: 400 N State of Franklin Rd Room Lk015, Johnson City, TN 37604
Phone: (423) 431-5965
Fax: (423) 431-3572
Mailing address: 400 N State of Franklin Rd Room Lk015, Johnson City, TN 37604-6035

Authorised official

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

Registered specialties

Cardiovascular Disease Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

Other Internal Medicine providers in Tennessee →

Registry record

NPI: 1003273251
Entity type: Organization
NPI issued: 19 Jan 2016
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.