BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1639441066

NPI Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is a neurology psychiatry neurology in Kingsport, TN. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1639441066. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Msmg Neuro Kpt.

The provider's business location address is:

2212 N JOHN B DENNIS HWY
SUITE C
KINGSPORT, TN
ZIP 37660-894
Phone: (423) 224-3940
Fax: (423) 224-3946

The provider's authorized official is Carl S Kilgore .
The authorized official title is President and has the following contact phone number (423) 915-5100.

The enumeration date for this NPI number is 2/1/2012 and was last updated on 2/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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