# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BHMA Gastroenterology JC, MSMG GI JC, Ballad Health Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134400039
- **Authorized official:** CARL STEVE KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
- **Practice address phone:** (423) 431-1810
- **Practice address fax:** (423) 431-1811
- **Mailing address:** 408 N STATE OF FRANKLIN RD, SUITE 24, JOHNSON CITY, TN 37604-6089
- **Mailing address phone:** (423) 431-1810
- **Mailing address fax:** (423) 431-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 03/28/2019