Blue Ridge Medical Management Corporation

NPI #1629310115 in Unicoi, Tennessee

Provider Information

NPI Number: 1629310115
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Mar 22, 2013
Last Updated: Sep 21, 2015

Practice Location

Address: 3614 UNICOI DR
City: Unicoi
State: Tennessee
ZIP Code: 37692-6860
Phone: (423) 743-7151

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 952-2122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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