OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1619102167 · Internal Medicine Physician · Elizabethton, TN
Provider details
- NPI number
- 1619102167
- 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
314 Rogosin Dr
Suite B
Elizabethton, TN 37643-2904
Phone: (423) 547-2761
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
- 2009-05-27
- Last updated
- 2010-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.