Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
First Assist Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5234
Entity
Organization
Contact information
Practice address
1101 E STONE DR, SUITE 2, KINGSPORT, TN 37660-3384
(423) 246-7259
(423) 246-7205
Mailing address
1101 E STONE DR, SUITE 2, KINGSPORT, TN 37660-3384
(423) 246-7259
(423) 246-7205
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3735664
—
TN
Enumeration date
02/07/2008
Last updated
07/13/2010
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