Blue Ridge Medical Management Corporation
NPI #1073555934 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1073555934
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Apr 4, 2012
Practice Location
- Address
- 408 N STATE OF FRANKLIN RD
- Address 2
- SUITE 42
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6089
- Phone
- (423) 431-2350
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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