BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

KINGSPORT, TN
NPI1144458332
Doing Business AsMSMG CVT KPT
Entity TypeOrganization
Authorized ContactCARL STEVEN KILGORE
President
423-915-5100
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Additional Taxonomies363A00000X Physician Assistant
363AS0400X Physician Assistant, Surgical
Enumeration Date2009-06-25
Last Update Date2010-10-27
Business Address
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2205 PAVILION DR SUITE 102
KINGSPORT, TN 37660-4641
Phone number: 423-929-7393
Mailing Address
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2205 PAVILION DR SUITE 102
KINGSPORT, TN 37660-4641
Phone number: 423-929-7393