Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Management

Organization Surgery Physician · NPI 1811380520

Blue Ridge Medical Management provides Surgery Physician services in Erwin, Tennessee. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

630 Oneega Ln Ste D
Erwin, TN 37650-2197
Phone: (423) 542-7440
Fax: (423) 542-7445
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1811380520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Gen Surg Erwin
NPI enumeratedMarch 5, 2015
Last updated in NPPESFebruary 14, 2017
Mailing address630 Oneega Ln, Suite D, Erwin, TN 37650-2197

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