Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG ENT MAR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization
Contact information
Practice address
1205 SNIDER ST, MARION, VA 24354-4221
(276) 783-2630
(276) 783-3516
Mailing address
1205 SNIDER ST, MARION, VA 24354-4221
(276) 783-2630
(276) 783-3516
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/12/2011
Last updated
05/17/2011
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