Blue Ridge Medical Management Corporation
NPI #1457693996 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1457693996
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 22, 2013
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 1505 W ELK AVE
- Address 2
- SUITE 2
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2848
- Phone
- (423) 543-1261
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Medical Genetics - Ph.D. Medical Genetics — Ph.D. Medical Genetics |
| Physician Assistant |
| Family Medicine |
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