NPI 1033593249

Blue Ridge Medical Management Corporation

Organisation Urology Physician Abingdon, VA

Practice location

Address: 16000 Johnston Memorial Dr Suite 312d, Abingdon, VA 24211-7664
Phone: (276) 783-5400
Fax: (276) 783-5521

Authorised official

Name: Carl Steven Kilgore
Title: President/Ceo
Phone: (423) 915-5121

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1033593249
Entity type: Organization
NPI issued: 17 Jul 2015
Record last updated: 14 Feb 2017

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.