Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management Corp

Organization Family Medicine Physician · NPI 1588326839

Blue Ridge Medical Management Corp is a Family Medicine Physician in Kingsport, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 American Way
Kingsport, TN 37660-5882
Phone: (423) 578-8451
Fax: (423) 230-8224
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588326839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laraine Dover — Director · (423) 952-2124
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateSeptember 28, 2021
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579

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