| Blue Ridge Medical Management Corporation | |
|
1021 W Oakland Ave Suite 301 Johnson City TN 37604-2191 | |
| (423) 952-8000 | |
| (423) 952-8001 |
| Full Name | Blue Ridge Medical Management Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 W Oakland Ave, Johnson City, Tennessee |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4233023051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corporation 1021 W Oakland Ave Suite 301 Johnson City TN 37604-2191 Ph: (423) 952-8000 | Blue Ridge Medical Management Corporation 1021 W Oakland Ave Suite 301 Johnson City TN 37604-2191 Ph: (423) 952-8000 |
| NPI Number | 1255341509 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 10/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255341509 | NPI | - | NPPES |
| 1255341509 | Medicaid | VA | |
| 622968600 | Other | TN | DEPARTMENT OF LABOR |
| 3706263 | Medicaid | TN |
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Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 N State Of Franklin Rd, Suite 135b, Johnson City, TN 37604 Phone: 423-431-4866 Fax: 423-431-2372 | |
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