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1396049938
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
KINGSPORT, TN
NPI
1396049938
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Doing Business As
MSMG PEDS KPT
Entity Type
Organization
Authorized Contact
CARL S KILGORE
President
423-915-5100
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2010-12-22
Last Update Date
2010-12-22
Business Address
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2204 PAVILION DR SUITE 210
KINGSPORT, TN 37660-4657
Phone number: 423-224-3933
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Mailing Address
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
2204 PAVILION DR SUITE 210
KINGSPORT, TN 37660-4657
Phone number: 423-224-3933
Copy
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