Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG Pediatric Cardiology ABG
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVE KILGORE (PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 312E, ABINGDON, VA 24211-7664
(276) 258-2765
(276) 258-2766
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 312E, ABINGDON, VA 24211-7664
(276) 258-2765
(276) 258-2766
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
02/14/2017
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