Blue Ridge Medical Management Corporation

NPI #1225332067 in Gray, Tennessee

Provider Information

NPI Number: 1225332067
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jan 10, 2011
Last Updated: Jan 10, 2011

Practice Location

Address: 203 GRAY COMMONS CIR
Address 2: SUITE B
City: Gray
State: Tennessee
ZIP Code: 37615-5407
Phone: (423) 392-6370

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT BRMMC
Phone: (423) 915-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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