NPI 1053762112

Blue Ridge Medical Management Corporation

Organisation Internal Medicine Physician Johnson City, TN

Practice location

Address: 310 N State of Franklin Rd STE 301a, Johnson City, TN 37604-6008
Phone: (423) 431-6816
Fax: (423) 431-2983

Authorised official

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

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Tennessee →

Registry record

NPI: 1053762112
Entity type: Organization
NPI issued: 29 Jun 2016
Record last updated: 2 May 2025

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.