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

Blue Ridge Medical Management Corporation

Organization Specialist · NPI 1346686763

Blue Ridge Medical Management Corporation provides Specialist services in Kingsport, Tennessee. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2002 Brookside Dr Ste 300A
Kingsport, TN 37660-4634
Phone: (423) 232-6900
Fax: (423) 232-6903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1346686763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Regional Cancer Center At Ipmc A
NPI enumeratedMay 13, 2013
Last updated in NPPESFebruary 14, 2017
Mailing address2002 Brookside Dr, Suite 300a, Kingsport, TN 37660-4634

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