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

Blue Ridge Medical Management Corporation

Organization Neurological Surgery Physician · NPI 1073555934

Blue Ridge Medical Management Corporation is a Neurological Surgery Physician in Johnson City, Tennessee. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

408 N State Of Franklin Rd Ste 42
Johnson City, TN 37604-6089
Phone: (423) 431-2350
Fax: (423) 431-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1073555934
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Neurosurg Jc
NPI enumeratedJune 12, 2006
Last updated in NPPESApril 4, 2012
Mailing address408 N State Of Franklin Rd, Suite 42, Johnson City, TN 37604-6089

Other providers in Johnson City