Blue Ridge Medical Management Corporation

NPI #1295903565 in Lebanon, Virginia

Provider Information

NPI Number
1295903565
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Pediatrics
Enumeration Date
Feb 20, 2008
Last Updated
Oct 29, 2010

Practice Location

Address
344 OVERLOOK DR
ZIP Code
24266-3436
Phone
(276) 889-0201

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Pediatrics

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