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

Blue Ridge Medical Mangement Corporation

Organization Vascular Surgery Physician · NPI 1043739881

Blue Ridge Medical Mangement Corporation is a Vascular Surgery Physician in Johnson City, Tennessee. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2 Professional Park Dr Ste 11
Johnson City, TN 37604-6584
Phone: (423) 434-7400
Fax: (423) 434-7401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1043739881
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 302-3051
Other names Ballad Health Medical Associates; Msmg Vascular Surgery Jc; Bhma Vascular Surgery Johnson City
NPI enumeratedSeptember 13, 2017
Last updated in NPPESJuly 21, 2022
Mailing address2 Professional Park Dr Ste 11, Johnson City, TN 37604-6584

Other providers in Johnson City