National Provider Identifier Database

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1497 WEST ELK AVE
STE 10
ELIZABETHTON, TN37643
Phone: 423-542-7440
Fax: 423-542-7445
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number 1376846683
Legal business name
LBN
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official CARL KILGORE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/08/2010
Last updated 05/02/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 5911815
  • TN Medicaid: 1521769
  • TN Other: 622164600 DEPARTMENT OF LABOR

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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