Blue Ridge Medical Management Corporation

NPI #1144458332 in Kingsport, Tennessee

Provider Information

NPI Number
1144458332
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date
Jun 25, 2009
Last Updated
Oct 27, 2010

Practice Location

Address
2205 PAVILION DR
Address 2
SUITE 102
ZIP Code
37660-4641
Phone
(423) 929-7393

Authorized Official

Name
CARL STEVEN KILGORE
Title
PRESIDENT
Phone
(423) 915-5100

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Physician Assistant - SurgicalSurgical
Thoracic Surgery (Cardiothoracic Vascular Surgery)

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