Blue Ridge Medical Management Corporation

NPI #1619263068 in Abingdon, Virginia

Provider Information

NPI Number: 1619263068
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Jun 23, 2011
Last Updated: Mar 29, 2019

Practice Location

Address: 16000 JOHNSTON MEMORIAL DR
Address 2: SUITE 313
City: Abingdon
State: Virginia
ZIP Code: 24211-7664
Phone: (276) 258-3780

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Gerontology — Gerontology	363LG0600X
Internal Medicine	207R00000X	Primary

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