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Blue Ridge Medical Management Corporation

NPI #1205866092 in Gray, Tennessee

Provider Information

NPI Number
1205866092
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Jul 4, 2006
Last Updated
Apr 23, 2010

Practice Location

Address
203 GRAY COMMONS CIR
Address 2
SUITE B
City
Gray
State
Tennessee
ZIP Code
37615-5407
Phone
(423) 467-4802

Authorized Official

Name
CARL STEVEN KILGORE
Title
PRESIDENT
Phone
(423) 915-5185

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent Care — Urgent Care

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