Blue Ridge Medical Management Corporation

NPI #1033593249 in Abingdon, Virginia

Provider Information

NPI Number
1033593249
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Urology
Enumeration Date
Jul 17, 2015
Last Updated
Feb 14, 2017

Practice Location

Address
16000 JOHNSTON MEMORIAL DR
Address 2
SUITE 312D
ZIP Code
24211-7664
Phone
(276) 783-5400

Authorized Official

Name
CARL STEVEN KILGORE
Title
PRESIDENT/CEO
Phone
(423) 915-5121

Specialties & Taxonomy Codes

Specialty
Urology

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