# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSMG OB GYN A, Ballad Health Medical Associates, BHMA OB/GYN and Womens Health Kingsport
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548270879
- **Authorized official:** CARL STEVEN KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 2002 BROOKSIDE DR, STE 300, KINGSPORT, TN 37660-4634
- **Practice address phone:** (423) 392-6370
- **Practice address fax:** (423) 392-6081
- **Mailing address:** 2002 BROOKSIDE DR, STE 300, KINGSPORT, TN 37660-4634
- **Mailing address phone:** (423) 392-6370
- **Mailing address fax:** (423) 392-6081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 03/29/2019