OrganizationActive
Blue Ridge Medical Management C Orporation
NPI 1184926719 · Internal Medicine Physician · Elizabethton, TN
Provider details
- NPI number
- 1184926719
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5185
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1497 W Elk Ave
Suite 20
Elizabethton, TN 37643-2874
Phone: (423) 547-2762
Fax: (423) 542-8621
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3700
Johnson City, TN 37602-3700
Other names (DBA / former)
- Doing business as
- Msmg Im Eliz
Registry dates
- Enumerated
- 2010-12-02
- Last updated
- 2010-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.