NPI 1417453440

Blue Ridge Medical Management Corpoartion

Organisation Neurological Surgery Physician Johnson City, TN

Practice location

Address: 701 Med Tech Pkwy STE 300, Johnson City, TN 37604-2365
Phone: (423) 232-8301
Fax: (423) 232-8304

Authorised official

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

Registered specialties (5)

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X

Other Neurological Surgery providers in Tennessee →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Tennessee →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

Adult Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X

Other Nurse Practitioner providers in Tennessee →

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

Registry record

NPI: 1417453440
Entity type: Organization
NPI issued: 30 Mar 2018
Record last updated: 29 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.