Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG General Surgery Marion
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT)
(423) 915-5121
Entity
Organization
Contact information
Practice address
1616 N MAIN ST, SUITE 100 B, MARION, VA 24354-4398
(276) 783-7287
(276) 783-7786
Mailing address
509 MEDTECH PKWY, SUITE 100, JOHNSON CITY, TN 37604
(423) 952-2122
(423) 952-2145
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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