Graduated: 2013
NPI: 1295152874
Practice Locations (2)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
800 S MOHAWK DR, SUITE C
ERWIN, TN 376502124
4237354750
WELLMONT MEDICAL ASSOCIATES INC
130 W RAVINE RD
KINGSPORT, TN 376603837
4232244000
Source: CMS National Downloadable File, September 2026.