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Blue Ridge Medical Management Corporation — NPI 1154779817, Johnson City, TN | NPI Central

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NPI 1154779817

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Blue Ridge Medical Management Corporation

NPI 1154779817 · Psychiatry Physician · Johnson City, TN

Provider details

NPI number: 1154779817
Entity type: Organization
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Authorized official: Carl Kilgore, President

Practice location

525 N State of Franklin Rd

Johnson City, TN 37604-8213

Phone: (423) 302-4380

More TN providers

Mailing address

509 Med Tech Pkwy Ste 100

Johnson City, TN 37604-2579

Registry dates

Enumerated: 2016-06-02
Last updated: 2022-09-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.