Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
First Assist Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
314 ROGOSIN DR, ELIZABETHTON, TN 37643-2904
(423) 854-2892
(423) 542-8621
Mailing address
314 ROGOSIN DR, ELIZABETHTON, TN 37643-2904
(423) 854-2892
(423) 542-8621
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735664
—
TN
Enumeration date
12/11/2006
Last updated
07/13/2010
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