OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1144458332 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Kingsport, TN
Provider details
- NPI number
- 1144458332
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Surgical Physician Assistant363AS0400X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2205 Pavilion Dr
Suite 102
Kingsport, TN 37660-4641
Phone: (423) 929-7393
Fax: (423) 929-1427
Approximate (ZIP-level) locationGet directions
Mailing address
2205 Pavilion Dr
Kingsport, TN 37660-4641
Other names (DBA / former)
- Doing business as
- Msmg Cvt Kpt
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2010-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.