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Blue Ridge Medical Management Corporation

Obstetrics & Gynecology in Abingdon, VA. Organization (NPI-2).

NPI number1124472691
StatusActive
Last updated in NPPESFeb 14, 2017

Details

NPI
1124472691
Entity type
Organization (NPI-2)
Legal business name
Blue Ridge Medical Management Corporation
Organization subpart
No
Enumeration date
Apr 20, 2016
Last updated
Feb 14, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & Gynecology–TNYes

Other names

  • Msmg Ob Gyn Abg (Doing Business As)

Practice location

277 White St Ne
Abingdon, VA 24210-2913

Phone 276-628-4335 · Fax 276-628-3195

Mailing address

277 White St Ne
Abingdon, VA 24210-2913

Phone 276-628-4335 · Fax 276-628-3195

Authorized official

Carl Steven Kilgore
President
4239155121

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