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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Active
Other names
MSMG URO ABG A
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 112C, ABINGDON, VA 24211-7659
(276) 258-1740
(276) 258-1745
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 112C, ABINGDON, VA 24211-7659
(423) 952-2122
(276) 258-1745

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/27/2013
Last updated
07/09/2015
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