Organization
APPALACHIAN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT OF BLUE RIDGE MED MGT)
(866) 916-5259
Entity
Organization
Contact information
Practice address
2000 BROOKSIDE DRIVE, KINGSPORT, TN 37660-4627
(423) 857-7000
(423) 857-7059
Mailing address
PO BOX 534964, ATLANTA, GA 30353-4964
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134430317
—
VA
Enumeration date
06/23/2010
Last updated
11/09/2010
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