Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Other names
Regional Cancer Center At IPMC B
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
444 CLINCHFIELD ST, UNIT 201B, KINGSPORT, TN 37660-3606
(423) 232-6900
(423) 232-6903
Mailing address
444 CLINCHFIELD ST, UNIT 201B, KINGSPORT, TN 37660-3606
(423) 232-6900
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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