| Blue Ridge Medical Management Corp | |
|
320 Valley St Ne Abingdon VA 24210-2912 | |
| (276) 676-3360 | |
| (276) 676-2170 |
| Full Name | Blue Ridge Medical Management Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 Valley St Ne, Abingdon, Virginia |
| Authorized Official Name and Position | Carl S Kilgore (PRESIDENT) |
| Authorized Official Contact | 4233023051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corp 320 Valley St Ne Abingdon VA 24210-2912 Ph: (276) 676-3360 | Blue Ridge Medical Management Corp 320 Valley St Ne Abingdon VA 24210-2912 Ph: (276) 676-3360 |
| NPI Number | 1295135523 |
|---|---|
| Provider Enumeration Date | 08/22/2014 |
| Last Update Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295135523 | NPI | - | NPPES |
| 1295135523 | Medicaid | VA | |
| DF7910 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056 | |
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