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Organization

APPALACHIAN EMERGENCY PHYSICIANS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL S KILGORE (PRESIDENT OF BLUE RIDGE MEDICAL MGT)
(866) 916-5259
Entity
Organization

Contact information

Practice address
245 MEDICAL PARK DRIVE, MARION, VA 24354-6587
(276) 782-1234
(276) 378-1105
Mailing address
PO BOX 534964, ATLANTA, GA 30353-4950
(866) 916-5259
(231) 922-4030

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376852673
VA
05
3810019394
WV
05
5916313
NC
05
7100142680
KY
Enumeration date
10/04/2010
Last updated
05/01/2013
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