Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
REGIONAL CANCER CENTER AT SYCAMORE SHOALS HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
1497 W ELK AVE, SUITE 11A, ELIZABETHTON, TN 37643-2895
(423) 232-6900
(423) 232-6903
Mailing address
1497 W ELK AVE, SUITE 11A, ELIZABETHTON, TN 37643-2895
(423) 232-6900
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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