Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
DBA Mountain Empire Medical & Surgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (SENIOR VICE PRESIDENT)
(423) 915-5185
Entity
Organization
Contact information
Practice address
1503 W ELK AVE, SUITE 8, ELIZABETHTON, TN 37643-2876
(423) 542-0400
(423) 542-0201
Mailing address
1503 W ELK AVE, SUITE 8, ELIZABETHTON, TN 37643-2876
(423) 542-0400
(423) 542-0201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2006
Last updated
08/22/2020
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