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

Blue Ridge Medical Management Corporation

Organization Psychiatry Physician · NPI 1659476992

Blue Ridge Medical Management Corporation is a Psychiatry Physician in Kingsport, Tennessee. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2000 Brookside Dr 7th Fl Geriatric Psychic Unit
Kingsport, TN 37660-4627
Phone: (423) 857-7740
Fax: (423) 857-7711
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1659476992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C. Kilgore — Senior Vice President · (423) 915-5185
Other names Dba Indian Path Medical Center
NPI enumeratedSeptember 13, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2000 Brookside Dr, 7th Floor Geriatric Psychic Unit, Kingsport, TN 37660-4627

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