Blue Ridge Medical Management C Orporation
NPI #1184926719 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1184926719
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management C Orporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Dec 2, 2010
- Last Updated
- Dec 2, 2010
Practice Location
- Address
- 1497 W ELK AVE
- Address 2
- SUITE 20
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2874
- Phone
- (423) 547-2762
Authorized Official
- Name
- MR. CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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