NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1649518309 |   |   |   | BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION | 4600 FORT HENRY DR | KINGSPORT | TN | 37663 |
1659701696 | BURKE | JORDAN |   |   | 4600 FORT HENRY DR | KINGSPORT | TN | 376632617 |
1790001469 | GRAY | LINDSEY | R |   | 4600 FORT HENRY DR | KINGSPORT | TN | 376632617 |
1194777953 | SMITH | NICHOLAS | BRETT |   | 4600 FORT HENRY DR | KINGSPORT | TN | 37663 |