| Blue Ridge Medical Management Corporation | |
|
1497 W Elk Ave Suite 20 Elizabethton TN 37643-2895 | |
| (423) 542-7400 | |
| (423) 542-7405 |
| Full Name | Blue Ridge Medical Management Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 1497 W Elk Ave, Elizabethton, Tennessee |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4239155121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corporation 1497 W Elk Ave Suite 20 Elizabethton TN 37643-2895 Ph: (423) 542-7400 | Blue Ridge Medical Management Corporation 1497 W Elk Ave Suite 20 Elizabethton TN 37643-2895 Ph: (423) 542-7400 |
| NPI Number | 1629432828 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629432828 | NPI | - | NPPES |
| Q020934 | Medicaid | TN | |
| 1629432828 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Tennessee) | Primary |
Carter County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 403 E G St, Elizabethton, TN 37643 Phone: 423-543-2521 | |
Northeast Tennessee Medical Associates Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Rogosin Dr, Elizabethton, TN 37643 Phone: 423-542-5505 Fax: 423-542-5573 | |
James Lee Davenport Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 Pine Hill Rd, Elizabethton, TN 37643 Phone: 423-542-4189 Fax: 423-542-4181 | |
Blue Ridge Medical Management C Orporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 W Elk Ave, Suite 20, Elizabethton, TN 37643 Phone: 423-547-2762 Fax: 423-542-8621 | |
Blue Ridge Medical Management Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1497 West Elk Ave, Suite 21, Elizabethton, TN 37643 Phone: 423-542-7420 Fax: 423-542-7425 | |
Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 W Elk Ave, Elizabethton, TN 37643 Phone: 423-431-0512 Fax: 423-722-2060 | |
Solutions Medical Centers Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Solutions Medical Centers, 851 W Elk Ave, Elizabethton, TN 37643 Phone: 423-542-2913 Fax: 423-542-3485 |