Organization
APPALACHIAN EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT OF BLUE RIDGE MEDICAL)
(866) 916-5259
Entity
Organization
Contact information
Practice address
100 GREENWAY CIR, ERWIN, TN 37650-2177
(423) 743-3141
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
—
1530733
—
TN
05
—
1932451291
—
VA
05
—
5922369
—
NC
Enumeration date
10/11/2012
Last updated
04/23/2013
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