Blue Ridge Medical Management Corporation

NPI #1588128755 in Erwin, Tennessee

Provider Information

NPI Number: 1588128755
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Family Medicine
Enumeration Date: Jan 22, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 2030 TEMPLE HILL RD STE B
City: Erwin
State: Tennessee
ZIP Code: 37650-8721
Phone: (423) 735-4080

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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