Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA Applalachian Neurosurgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (SENIOR VICE PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
1410 TUSCULUM BLVD, SUITE 1400, GREENEVILLE, TN 37745-4286
(423) 975-2350
(423) 975-2372
Mailing address
1410 TUSCULUM BLVD, SUITE 1400, GREENEVILLE, TN 37745-4286
(423) 975-2350
(423) 975-2372
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TN
Enumeration date
08/31/2006
Last updated
08/22/2020
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