| Organization Name: | BLUE RIDGE MEDICAL MANAGEMENT CORPORATION |
| NPI Number: | 1073950499 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARL STEPHEN KILGORE (PRESIDENT) |
| Mailing Address: | 16000 Johnston Memorial Dr Suite 100 A Abingdon |
| State: | VA US |
| Postal Code: | 242117659 |
| Phone Number: | 2762581790 |
| Fax Number: | 2762581765 |
| NPI Enumeration Date: | 05/24/2013 |
| NPI Last Update Date: | 04/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207XX0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Orthopaedic Surgery |
| Taxonomy Specialization: | Orthopaedic Trauma |
| Taxonomy Definition: | Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |