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 1912910597

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

In the registry since
2006

Practice location Address checks out

2205 Pavilion Dr
Kingsport, TN 37660-4641
Phone: (423) 392-5010
Fax: (423) 392-5145
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 number1912910597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C Kilgore — Senior Vice President · (423) 915-5185
Other names Dba Kingsport Internal Medicine
NPI enumeratedAugust 14, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2205 Pavilion Dr, Kingsport, TN 37660-4641

Other providers in Kingsport