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

Blue Ridge Medical Management Corp

Organization Family Medicine Physician · NPI 1588326839

Blue Ridge Medical Management Corp provides Family Medicine Physician services in Kingsport, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 American Way
Kingsport, TN 37660-5882
Phone: (423) 578-8451
Fax: (423) 230-8224
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1588326839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laraine Dover — Director · (423) 952-2124
NPI enumeratedOctober 13, 2021
Last updated in NPPESOctober 13, 2021
Certification dateSeptember 28, 2021
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579

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