Blue Ridge Medical Management Corporation

NPI #1831212448 in Erwin, Tennessee

Provider Information

NPI Number: 1831212448
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine - Cardiovascular Disease
Enumeration Date: Apr 9, 2007
Last Updated: Apr 1, 2009

Practice Location

Address: 630 ONEEGA LN
Address 2: SUITE D
City: Erwin
State: Tennessee
ZIP Code: 37650-2197
Phone: (423) 743-0440

Authorized Official

Name: CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 915-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Cardiovascular Disease — Cardiovascular Disease	207RC0000X	Primary

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Organizations

Provider Name	Specialty	City
Blue Ridge Medical Management Corporation	Internal Medicine - Cardiovascular Disease	Erwin	AI Deep Dive

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