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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Active
Other names
MSMG ENT RURL
Organization subpart
No

Provider details

NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 915-5116
Entity
Organization

Contact information

Practice address
7021 W LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
(276) 686-3067
(276) 686-2051
Mailing address
7021 W LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
(276) 686-3067
(276) 686-2051

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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