Blue Ridge Medical Management Corporation

NPI #1164794525 in Kingsport, Tennessee

Provider Information

NPI Number
1164794525
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Internal Medicine - Pulmonary Disease
Enumeration Date
Feb 1, 2012
Last Updated
Mar 28, 2019

Practice Location

Address
2205 PAVILION DR
Address 2
SUITE 201B
ZIP Code
37660-4641
Phone
(423) 857-7650

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Pulmonary DiseasePulmonary Disease

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