NPI 1629362033

Blue Ridge Medical Management Corporation

Organisation Urology Physician Abingdon, VA

Practice location

Address: 16000 Johnston Memorial Drive Suite 112a, Abingdon, VA 24211
Phone: (276) 258-1740
Fax: (276) 258-1745

Authorised official

Name: Carl Steven Kilgore
Title: President
Phone: (423) 915-5116

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Virginia →

Registry record

NPI: 1629362033
Entity type: Organization
NPI issued: 2 Jun 2011
Record last updated: 9 Jul 2015

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.