Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
First Assist / Urgent Care - Norton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVE KILGORE (PRESIDENT)
(423) 952-5121
Entity
Organization
Contact information
Practice address
100 15TH ST NW, SUITE A, NORTON, VA 24273-1616
(276) 439-1840
(276) 439-1845
Mailing address
100 15TH ST NW, SUITE A, NORTON, VA 24273-1616
(276) 439-1840
(276) 439-1845
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063881456
—
VA
01
—
623278800
DEPARTMENT OF LABOR
VA
Enumeration date
09/16/2015
Last updated
02/14/2017
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