Organization
APPALACHIAN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT OF BLUE RIDGE MEDICAL MGT)
(866) 916-5259
Entity
Organization
Contact information
Practice address
58 CARROLL STREET, LEBANON, VA 24266-0001
(276) 883-8000
(276) 883-8101
Mailing address
PO BOX 534964, ATLANTA, GA 30353-4950
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750690087
—
VA
05
—
7100142690
—
KY
Enumeration date
10/05/2010
Last updated
02/22/2011
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