# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA East Tennessee OB/GYN Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134139017
- **Authorized official:** C STEVEN KILGORE (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (423) 915-9185

## Contact information

- **Practice address:** 900 W MAIN ST, HEALTH LINK OF ROGERSVILLE, ROGERSVILLE, TN 37857-2448
- **Practice address phone:** (423) 272-0542
- **Practice address fax:** (423) 272-0544
- **Mailing address:** 900 W. MAIN STREET, HEALTH LINK OF ROGERSVILLE, ROGERSVILLE, TN 37657
- **Mailing address phone:** (423) 272-0542
- **Mailing address fax:** (423) 272-0544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020