NPI 1730610981 · live from the CMS NPI Registry
Blue Ridge Medical Management Corporation
Internal Medicine, Cardiovascular Disease in Rural Retreat, VA. National Provider Identifier 1730610981, active.
NPI record
| NPI | 1730610981 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 7021 W Lee Hwy, Ste C2, Rural Retreat, VA 24368 |
| Practice phone | 276-258-3740 |
| Enumerated | March 21, 2017 |
| Last updated | March 21, 2017 |
| Authorized official | Carl Kilgore, President/Ceo |
| Other names | Msmg Cardiology Rural Retreat |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.