Blue Ridge Medical Management Corporation

NPI #1609160571 in Rural Retreat, Virginia

Provider Information

NPI Number
1609160571
Entity Type
Organization
Organization Name
Blue Ridge Medical Management Corporation
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Jun 8, 2011
Last Updated
Jun 8, 2011

Practice Location

Address
7021 W LEE HIGHWAY
Address 2
SUITE B
ZIP Code
24368-0000
Phone
(276) 686-3067

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology

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