Blue Ridge Medical Management Corporation

NPI #1508223116 in Marion, Virginia

Provider Information

NPI Number: 1508223116
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Surgery
Enumeration Date: Jan 27, 2016
Last Updated: Jan 27, 2016

Practice Location

Address: 1616 N MAIN ST
Address 2: SUITE 100 B
City: Marion
State: Virginia
ZIP Code: 24354-4398
Phone: (276) 783-7287

Authorized Official

Name: CARL S KILGORE
Title: PRESIDENT
Phone: (423) 915-5121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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