Blue Ridge Medical Management Corporation
NPI #1609179910 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1609179910
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Dec 8, 2010
- Last Updated
- Mar 29, 2019
Practice Location
- Address
- 1497 W ELK AVE STE 22A
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2896
- Phone
- (423) 547-3380
Authorized Official
- Name
- CARL S KILGORE
- Title
- ENROLLMENT
- Phone
- (423) 302-3051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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