Blue Ridge Medical Management Corporation

NPI #1063783751 in Mountain City, Tennessee

Provider Information

NPI Number: 1063783751
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Surgery
Enumeration Date: Jan 26, 2012
Last Updated: Feb 14, 2017

Practice Location

Address: 1901 S SHADY ST
City: Mountain City
State: Tennessee
ZIP Code: 37683-2021
Phone: (423) 727-1139

Authorized Official

Name: CARL STEVEN KILGORE
Title: CEO
Phone: (423) 915-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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