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Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG ENT RURL
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
7021 W LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
(276) 686-3067
(276) 686-2051
Mailing address
7021 W LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
(276) 686-3067
(276) 686-2051
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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