Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG CARDIOLOGY GREENEVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT / CEO)
(423) 915-5000
Entity
Organization
Contact information
Practice address
1406 TUSCULUM BLVD, MOB 2 SUITE 2001 A, GREENEVILLE, TN 37745-4332
(423) 787-7425
(423) 797-7482
Mailing address
1406 TUSCULUM BLVD, MOB 2 SUITE 2001 A, GREENEVILLE, TN 37745-4332
(423) 787-7425
(423) 797-7482
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
12/26/2012
Last updated
07/25/2013
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