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Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, MSMG HIMA IPMC, BHMA Hospitalists IPCH
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Mailing address
2000 BROOKSIDE DR, 3RD FLOOR, KINGSPORT, TN 37660-4627
(423) 857-5905
(423) 857-5904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
TN
363L00000X
Nurse Practitioner
—
TN
Other
Enumeration date
06/03/2006
Last updated
03/29/2019
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