Blue Ridge Medical Management Corporation
NPI #1619102167 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1619102167
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 27, 2009
- Last Updated
- Oct 29, 2010
Practice Location
- Address
- 314 ROGOSIN DR
- Address 2
- SUITE B
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2904
- Phone
- (423) 547-2761
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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