OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1669903803 · Pulmonary Disease Physician · Elizabethton, TN
Provider details
- NPI number
- 1669903803
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carl Kilgore, President/Ceo
Practice location
1497 W Elk Ave Ste 22b
Elizabethton, TN 37643-2896
Phone: (423) 547-5289
Fax: (423) 610-3430
Mailing address
1497 W Elk Ave Ste 22b
Elizabethton, TN 37643-2896
Registry dates
- Enumerated
- 2017-03-21
- Last updated
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.