Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA Heart & Vascular Group
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (SENIOR VICE PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
HEALTH LINK OF ROGERSVILLE, 900 WEST MAIN STREET, ROGERSVILLE, TN 37857
(423) 272-0542
(423) 272-0544
Mailing address
HEALTH LINK OF ROGERSVILLE, 900 WEST MAIN STREET, ROGERSVILLE, TN 37857
(423) 272-0542
(423) 272-0544
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719385
—
TN
Enumeration date
07/01/2006
Last updated
08/22/2020
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