Blue Ridge Medical Management Corporation
Blue Ridge Medical Management Corporation is an Addiction Medicine (Psychiatry & Neurology) Physician in Kingsport, Tennessee. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
2300 Pavilion DrKingsport, TN 37660-4622
Phone: (423) 392-5500
Fax: (423) 392-5597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Psychiatry & Neurology) Physician (primary) | Taxonomy 2084A0401X |
|---|---|
| Psychiatry Physician | Taxonomy 2084P0800X |
Record details
| NPI number | 1659475374 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | C. Kilgore — Senior Vice President · (423) 915-5185 |
| Other names | Dba Indian Path Pavilion |
| NPI enumerated | September 12, 2006 |
| Last updated in NPPES | September 11, 2025 |
| Mailing address | 2300 Pavilion Dr, Kingsport, TN 37660-4622 |
Other providers in Kingsport
-
Charles B Herrin, MD
2300 Pavilion Dr, Kingsport, TN 37660-4622 · (423) 857-5571