Blue Ridge Medical Management Corporation

NPI #1104171826 in Abingdon, Virginia

Provider Information

NPI Number: 1104171826
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Hospitalist
Enumeration Date: Jul 18, 2012
Last Updated: Mar 28, 2019

Practice Location

Address: 16000 JOHNSTON MEMORIAL DR
Address 2: FOURTH FLOOR
City: Abingdon
State: Virginia
ZIP Code: 24211-7664
Phone: (276) 258-4050

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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