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

Blue Ridge Medical Management Corpoartion

Organization Occupational Medicine Physician · NPI 1225778780

Blue Ridge Medical Management Corpoartion is an Occupational Medicine Physician in Johnson City, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

403 Princeton Rd Ste 3
Johnson City, TN 37601-2040
Phone: (423) 302-3681
Fax: (423) 302-3689
Show map & directions

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

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X

Record details

NPI number1225778780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — Vp · (423) 302-3051
NPI enumeratedMarch 31, 2022
Last updated in NPPESMarch 31, 2022
Certification dateMarch 31, 2022
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579

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