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

Blue Ridge Medical Management Corporation

Organization Internal Medicine Physician · NPI 1619102167

Blue Ridge Medical Management Corporation is an Internal Medicine Physician in Elizabethton, Tennessee. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

314 Rogosin Dr Ste B
Elizabethton, TN 37643-2904
Phone: (423) 547-2761
Fax: (423) 542-8621
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1619102167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5185
Other names Msmg Im Eliz
NPI enumeratedMay 27, 2009
Last updated in NPPESOctober 29, 2010
Mailing addressPo Box 3700, Johnson City, TN 37602-3700

Other providers in Elizabethton