Blue Ridge Medical Management Corporation

NPI #1750779997 in Abingdon, Virginia

Provider Information

NPI Number: 1750779997
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Dermatology
Enumeration Date: Dec 22, 2014
Last Updated: Mar 29, 2019

Practice Location

Address: 607 CAMPUS DR
City: Abingdon
State: Virginia
ZIP Code: 24210-9700
Phone: (276) 619-2416

Authorized Official

Name: MR. CARL STEPHEN KILGORE
Title: PRESIDENT
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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Organizations

Provider Name	Specialty	City
Blue Ridge Medical Management Corporation	Dermatology	Abingdon	AI Deep Dive

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