Blue Ridge Medical Management Corporation

NPI #1386916310 in Elizabethton, Tennessee

Provider Information

NPI Number
1386916310
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Feb 7, 2012
Last Updated
Feb 7, 2012

Practice Location

Address
1497 W ELK AVE
Address 2
SUITE 11A
ZIP Code
37643-2895
Phone
(423) 232-6900

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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