Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA Heart & Vascular Group
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (SENIOR VICE PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
(423) 636-2339
(423) 636-2430
Mailing address
1021 COOLIDGE ST, GREENEVILLE, TN 37743-4672
(423) 636-2339
(423) 636-2430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3716298
—
TN
Enumeration date
07/01/2006
Last updated
05/27/2010
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