Organization Name: | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
NPI Number: | 1003273251 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL STEVEN KILGORE (CEO) |
Mailing Address: | 400 N State Of Franklin Rd Room Lk015 Johnson City |
State: | TN US |
Postal Code: | 376046035 |
Phone Number: | 4237360182 |
Fax Number: | 4234313572 |
NPI Enumeration Date: | 01/19/2016 |
NPI Last Update Date: | 02/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |