Blue Ridge Medical Management Corporation
NPI #1811269640 in Rural Retreat, Virginia
Provider Information
- NPI Number
- 1811269640
- Entity Type
- Organization
- Organization Name
- Blue Ridge Medical Management Corporation
- Primary Specialty
- Urology
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Feb 14, 2017
Practice Location
- Address
- 7021 WEST LEE HIGHWAY
- Address 2
- SUITE B
- City
- Rural Retreat
- State
- Virginia
- ZIP Code
- 24368
- Phone
- (276) 783-5400
Authorized Official
- Name
- CARL STEVEN KILGORE
- Title
- PRESIDENT
- Phone
- (423) 915-5116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Urology |
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