# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BHMA Transitional Care Kingsport, MSMG Transitional Care, Ballad Health Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669918314
- **Authorized official:** MR. CARL STEVEN KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 2000 BROOKSIDE DR, 1ST FLOOR ROOM 12, KINGSPORT, TN 37660-4627
- **Practice address phone:** (423) 857-5907
- **Practice address fax:** (423) 857-5904
- **Mailing address:** 2000 BROOKSIDE DR, 1ST FLOOR ROOM 12, KINGSPORT, TN 37660-4627
- **Mailing address phone:** (423) 857-5907
- **Mailing address fax:** (423) 857-5904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | Yes |
| 208M00000X | Hospitalist Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/18/2017
- **Last updated:** 03/29/2019