OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1669918314 · Hospitalist Physician · Kingsport, TN
Provider details
- NPI number
- 1669918314
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Carl Kilgore, President
Practice location
2000 Brookside Dr
1st Floor Room 12
Kingsport, TN 37660-4627
Phone: (423) 857-5907
Fax: (423) 857-5904
Mailing address
2000 Brookside Dr
Kingsport, TN 37660-4627
Registry dates
- Enumerated
- 2017-01-18
- Last updated
- 2019-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.