Blue Ridge Medical Management Corporation

NPI #1003293929 in Abingdon, Virginia

Provider Information

NPI Number
1003293929
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Dermatology
Enumeration Date
Apr 29, 2015
Last Updated
Mar 28, 2019

Practice Location

Address
16000 JOHNSTON MEMORIAL DR
Address 2
SUITE 101B
ZIP Code
24211-7664
Phone
(276) 258-1777

Authorized Official

Name
CARL STEVEN KILGORE
Title
PRESIDENT
Phone
(423) 302-3051

Specialties & Taxonomy Codes

Specialty
Dermatology

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