Blue Ridge Medical Management Corporation

NPI #1548552458 in Marion, Virginia

Provider Information

NPI Number: 1548552458
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Surgery
Enumeration Date: May 11, 2011
Last Updated: Jun 18, 2012

Practice Location

Address: 1020 TERRACE DR
Address 2: SUITE 202
City: Marion
State: Virginia
ZIP Code: 24354-4392
Phone: (276) 781-7848

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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