Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT
Active
Other names
Regional Cancer Center At SSH
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 20B, ELIZABETHTON, TN 37643-2895
(423) 232-6900
(423) 232-6903
Mailing address
1497 W ELK AVE, SUITE 20B, ELIZABETHTON, TN 37643-2895
(423) 232-6900
(423) 232-6903
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
05/22/2015
Last updated
11/18/2015
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