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

Blue Ridge Medical Management Corporation

Organization Specialist · NPI 1073748539

Blue Ridge Medical Management Corporation is a Specialist in Elizabethton, Tennessee. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1503 W Elk Ave Ste 8
Elizabethton, TN 37643-2876
Phone: (423) 543-8619
Fax: (423) 543-5133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1073748539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5100
Other names Msmg Gen Surg Eliz A
NPI enumeratedMay 27, 2009
Last updated in NPPESOctober 26, 2010
Mailing address1503 W Elk Ave, Suite 8, Elizabethton, TN 37643-2876

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