# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSMG Pulmonology of Elizabethton, Ballad Health Medical Associates, BHMA Pulmonology and Sleep Medicine Elizabethton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669903803
- **Authorized official:** MR. CARL STEVEN KILGORE (PRESIDENT/CEO)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 1497 W ELK AVE STE 22B, ELIZABETHTON, TN 37643-2896
- **Practice address phone:** (423) 547-5289
- **Practice address fax:** (423) 610-3430
- **Mailing address:** 1497 W ELK AVE STE 22B, ELIZABETHTON, TN 37643-2896
- **Mailing address phone:** (423) 547-5289
- **Mailing address fax:** (423) 610-3430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2017
- **Last updated:** 08/18/2025