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

Blue Ridge Medical Management Corporation

Organization Sports Medicine (Family Medicine) Physician · NPI 1063188365

Blue Ridge Medical Management Corporation is a Sports Medicine (Family Medicine) Physician in Erwin, Tennessee. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone: (423) 863-9147
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1063188365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laraine Dover — Director · (423) 952-2124
NPI enumeratedAugust 18, 2021
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address1021 W Oakland Ave, Johnson City, TN 37604-2191