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

Blue Ridge Medical Management Corporation

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1144458332

Blue Ridge Medical Management Corporation is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Kingsport, Tennessee. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3

Practice location Address checks out

2205 Pavilion Dr Ste 102
Kingsport, TN 37660-4641
Phone: (423) 929-7393
Fax: (423) 929-1427
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1144458332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5100
Other names Msmg Cvt Kpt
NPI enumeratedJune 25, 2009
Last updated in NPPESOctober 27, 2010
Mailing address2205 Pavilion Dr, Suite 102, Kingsport, TN 37660-4641

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