Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA Heart & Vascular Group
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5100
Entity
Organization
Contact information
Practice address
630 ONEEGA LN, SUITE D, ERWIN, TN 37650-2197
(423) 743-0440
(423) 743-2828
Mailing address
630 ONEEGA LN, SUITE D, ERWIN, TN 37650-2197
(423) 743-0440
(423) 743-2828
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
04/01/2009
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