Blue Ridge Medical Management Corporation

NPI #1063704765 in Marion, Virginia

Provider Information

NPI Number: 1063704765
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2011
Last Updated: May 17, 2011

Practice Location

Address: 1118 SNIDER ST
City: Marion
State: Virginia
ZIP Code: 24354-4216
Phone: (276) 783-5148

Authorized Official

Name: MR. CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 915-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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