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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