Blue Ridge Medical Mangement Corporation
NPI #1043739881 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1043739881
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Mangement Corporation
- Primary Specialty
- Surgery - Vascular Surgery
- Enumeration Date
- Sep 13, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2 PROFESSIONAL PARK DR STE 11
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6584
- Phone
- (423) 434-7400
Authorized Official
- Name
- CARL S. KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Vascular Surgery — Vascular Surgery |
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