Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA East Tennessee OB/GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (SENIOR VICE PRESIDENT)
(423) 915-9185
Entity
Organization
Contact information
Practice address
900 W MAIN ST, HEALTH LINK OF ROGERSVILLE, ROGERSVILLE, TN 37857-2448
(423) 272-0542
(423) 272-0544
Mailing address
900 W. MAIN STREET, HEALTH LINK OF ROGERSVILLE, ROGERSVILLE, TN 37657
(423) 272-0542
(423) 272-0544
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3716290
—
TN
Enumeration date
08/09/2006
Last updated
08/22/2020
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