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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPOARTION

Active
Other names
MSMG Ortho ELIZ
Organization subpart
No

Provider details

NPI number
Authorized official
CARL S KILGORE (PRESIDENT)
(423) 915-5100
Entity
Organization

Contact information

Practice address
1497 WEST ELK AVE, SUITE 11, ELIZABETHTON, TN 37643
(423) 542-7480
(423) 542-7485
Mailing address
1497 WEST ELK AVE, SUITE 11, ELIZABETHTON, TN 37643
(423) 542-7480
(423) 542-7485

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Enumeration date
12/08/2010
Last updated
03/10/2011
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