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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