Blue Ridge Medical Management Corporation
NPI #1255769501 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1255769501
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 24, 2013
- Last Updated
- Oct 24, 2013
Practice Location
- Address
- 408 N STATE OF FRANKLIN RD
- Address 2
- SUITE 31
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-6089
- Phone
- (423) 431-2477
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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