| Blue Ridge Medical Management Corporation | |
|
16000 Johnston Memorial Dr Suite 313b Abingdon VA 24211-7664 | |
| (276) 258-3770 | |
| (276) 258-3785 |
| Full Name | Blue Ridge Medical Management Corporation |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4239155100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corporation 16000 Johnston Memorial Dr Suite 313b Abingdon VA 24211-7664 Ph: (276) 258-3770 | Blue Ridge Medical Management Corporation 16000 Johnston Memorial Dr Suite 313b Abingdon VA 24211-7664 Ph: (276) 258-3770 |
| NPI Number | 1114308822 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 02/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114308822 | NPI | - | NPPES |
| Q013947 | Medicaid | TN | |
| 1114308822 | Medicaid | VA | |
| 622377400 | Other | VA | DEPARTMENT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Abingdon Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Campus Dr, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Wolf Creek Trl, Abingdon, VA 24210 Phone: 877-367-9772 | |
Med-peds Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Johnson St Ne, Abingdon, VA 24210 Phone: 276-623-8105 Fax: 276-623-8109 | |
Abingdon Physician Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Abingdon Pl, Abingdon, VA 24211 Phone: 276-623-8133 Fax: 276-623-2471 | |
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 | |
Preston Square Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24294 Teal Drive, Abingdon, VA 24211 Phone: 276-628-8303 Fax: 276-466-4815 |