OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1083854384 · Specialist · Elizabethton, TN
Provider details
- NPI number
- 1083854384
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5100
Specialties & taxonomies
Other Service Providers
Practice location
1503 W Elk Ave
Suite 3b
Elizabethton, TN 37643-2876
Phone: (423) 543-7168
Fax: (423) 542-3814
Approximate (ZIP-level) locationGet directions
Mailing address
1503 W Elk Ave
Elizabethton, TN 37643-2876
Other names (DBA / former)
- Doing business as
- Msmg Gen Surg Eliz B
Registry dates
- Enumerated
- 2009-02-26
- Last updated
- 2010-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.