Graduated: 2014
NPI: 1629473319
Practice Locations (2)
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
1497 W ELK AVE
ELIZABETHTON, TN 376432896
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2000 BROOKSIDE DR, FL 4
KINGSPORT, TN 376604627
4238575905
Source: CMS National Downloadable File, September 2026.