Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG Cardiology Rural Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT/CEO)
(423) 915-5185
Entity
Organization
Contact information
Practice address
7021 W LEE HWY, STE C2, RURAL RETREAT, VA 24368-2933
(276) 258-3740
(276) 258-3745
Mailing address
7021 W LEE HWY, STE C2, RURAL RETREAT, VA 24368-2933
(276) 258-3740
(276) 258-3745
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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