Blue Ridge Medical Management Corporation

NPI #1114219805 in Marion, Virginia

Provider Information

NPI Number
1114219805
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
May 12, 2011
Last Updated
Jan 18, 2016

Practice Location

Address
1205 SNIDER ST
City
Marion
ZIP Code
24354-4221
Phone
(276) 783-2354

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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