# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ballad Health Medical Associates, BHMA Family Medicine Erwin
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588128755
- **Authorized official:** CARL KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 2030 TEMPLE HILL RD STE B, ERWIN, TN 37650-8721
- **Practice address phone:** (423) 735-4080
- **Practice address fax:** (423) 735-4085
- **Mailing address:** 2030 TEMPLE HILL RD STE B, ERWIN, TN 37650-8721
- **Mailing address phone:** (423) 735-4080
- **Mailing address fax:** (423) 735-4085

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2019
- **Last updated:** 01/22/2019