Msmg Infectious Disease Abg

LBN: Blue Ridge Medical Management Corporation
Msmg Infectious Disease Abg is an health care organization with primary practice located at 16000 Johnston Memorial Dr Suite 313B, Abingdon VA 24211-7664. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Blue Ridge Medical Management Corporation can be contacted via phone (276) 258-3770, or through Kilgore, Carl Steven via phone (423) 915-5100.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Suite 313B Abingdon VA 24211-7664
Fax: (276) 258-3785
Website:
Authorized official contact:
Name: Kilgore, Carl Steven

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X

Profile Details

NPI number 1114308822
LBN Legal business name Blue Ridge Medical Management Corporation
DBA Doing business as Msmg Infectious Disease Abg
Authorized official Kilgore, Carl Steven
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2015
Last updated Feb 14th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114308822 NPPES
Tennessee MEDICAID Q013947
Tennessee MEDICAID 1114308822
Tennessee Other 622377400

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