Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (VP)
(423) 302-3051
Entity
Organization
Contact information
Practice address
403 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2040
(423) 302-3681
(423) 302-3689
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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