Blue Ridge Medical Management Corporation

NPI #1497057491 in Abingdon, Virginia

Provider Information

NPI Number: 1497057491
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Neurological Surgery
Enumeration Date: Nov 23, 2010
Last Updated: Mar 29, 2019

Practice Location

Address: 16000 JOHNSTON MEMORIAL DR
Address 2: SUITE 312A
City: Abingdon
State: Virginia
ZIP Code: 24211-7659
Phone: (423) 431-2350

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT/CEO
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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