# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ballad Health Medical Associates, BHMA Sleep Medicine Bristol, MSMG Sleep Diagnostics Bristol
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730542473
- **Authorized official:** CARL STEVEN KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 302-3051

## Contact information

- **Practice address:** 3175 LINDEN DR, STE 3, BRISTOL, VA 24202-5849
- **Practice address phone:** (276) 258-4734
- **Practice address fax:** (276) 258-4736
- **Mailing address:** 3175 LINDEN DR, STE 3, BRISTOL, VA 24202-5849
- **Mailing address phone:** (276) 258-4734
- **Mailing address fax:** (276) 258-4736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2016
- **Last updated:** 03/29/2019