Blue Ridge Medical Management Corporation

NPI #1689056731 in Abingdon, Virginia

Provider Information

NPI Number: 1689056731
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Pediatrics
Enumeration Date: Jun 25, 2015
Last Updated: Mar 29, 2019

Practice Location

Address: 16000 JOHNSTON MEMORIAL DR
Address 2: 4TH FLOOR
City: Abingdon
State: Virginia
ZIP Code: 24211-7664
Phone: (276) 258-4050

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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