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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
203 GRAY COMMONS CIR, SUITE B, GRAY, TN 37615-5407
(423) 467-4802
(423) 467-4801
Mailing address
203 GRAY COMMONS CIR, SUITE B, GRAY, TN 37615-5407
(423) 467-4802
(423) 467-4801

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3709285
TN
Enumeration date
07/04/2006
Last updated
04/23/2010
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