Organization
APPALACHIAN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT OF BLUE RIDGE MEDICAL MAN)
(866) 916-5259
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1000
(276) 676-2631
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
—
1912278508
—
VA
05
—
6999753
—
NC
05
—
7100188710
—
KY
Enumeration date
01/13/2012
Last updated
04/18/2012
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