OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1659476992 · Psychiatry Physician · Kingsport, TN
Provider details
- NPI number
- 1659476992
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- C. Kilgore, Senior Vice President
Practice location
2000 Brookside Dr
7th Floor Geriatric Psychic Unit
Kingsport, TN 37660-4627
Phone: (423) 857-7740
Fax: (423) 857-7711
Mailing address
2000 Brookside Dr
Kingsport, TN 37660-4627
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.