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Organization
BLUE RIDGE MEDICAL MANAGEMENT CORP
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORP
Active
Other names
Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (EXECUTIVE)
(423) 302-3051
Entity
Organization
Contact information
Practice address
1905 AMERICAN WAY, KINGSPORT, TN 37660-5882
(423) 578-8451
(423) 230-8224
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111
(423) 282-1657
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
10/01/2024
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