National Provider Identifier Database

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
16000 JOHNSTON MEMORIAL DRIVE
SUITE 112A
ABINGDON, VA24211
Phone: 276-258-1740
Fax: 276-258-1745
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

NPI Number 1629362033
Legal business name
LBN
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Authorized official CARL KILGORE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/02/2011
Last updated 07/09/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • VA Medicaid: 1629362033

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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