NPI 1003293929

Blue Ridge Medical Management Corporation

Organisation Dermatology Physician Abingdon, VA

Practice location

Address: 16000 Johnston Memorial Dr Suite 101b, Abingdon, VA 24211-7664
Phone: (276) 258-1777
Fax: (276) 258-1776

Authorised official

Name: Carl Steven Kilgore
Title: President
Phone: (423) 302-3051

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Virginia →

Registry record

NPI: 1003293929
Entity type: Organization
NPI issued: 29 Apr 2015
Record last updated: 28 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.