Blue Ridge Medical Management Corporation
NPI #1629432828 in Elizabethton, Tennessee
Provider Information
- NPI Number
- 1629432828
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 13, 2016
- Last Updated
- Oct 7, 2016
Practice Location
- Address
- 1497 W ELK AVE
- Address 2
- SUITE 20
- City
- Elizabethton
- State
- Tennessee
- ZIP Code
- 37643-2895
- Phone
- (423) 542-7400
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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