Blue Ridge Medical Management Corporation

NPI #1205253770 in Erwin, Tennessee

Provider Information

NPI Number: 1205253770
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Mar 24, 2014
Last Updated: Mar 29, 2019

Practice Location

Address: 800 S MOHAWK DR
Address 2: SUITE C
City: Erwin
State: Tennessee
ZIP Code: 37650-2124
Phone: (423) 979-6000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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Organizations

Provider Name	Specialty	City
Blue Ridge Medical Management Corporation	Internal Medicine - Cardiovascular Disease	Erwin	AI Deep Dive

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