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Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG ENT MAR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
1205 SNIDER ST, MARION, VA 24354-4221
(276) 783-2630
(276) 783-3516
Mailing address
1205 SNIDER ST, MARION, VA 24354-4221
(276) 783-2630
(276) 783-3516
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/17/2011
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