Blue Ridge Medical Management

NPI #1811380520 in Erwin, Tennessee

Provider Information

NPI Number: 1811380520
Entity Type: Organization
Organization Name: Blue Ridge Medical Management
Primary Specialty: Surgery
Enumeration Date: Mar 5, 2015
Last Updated: Feb 14, 2017

Practice Location

Address: 630 ONEEGA LN
Address 2: SUITE D
City: Erwin
State: Tennessee
ZIP Code: 37650-2197
Phone: (423) 542-7440

Authorized Official

Name: CARL STEPHEN KILGORE
Title: PRESIDENT
Phone: (423) 915-5116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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