Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG BEH HLTH JC A, BHMA Behavioral Health EAP JC, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
2 PROFESSIONAL PARK DR, SUITE 15, JOHNSON CITY, TN 37604-6583
(423) 979-0565
(423) 979-0569
Mailing address
2 PROFESSIONAL PARK DR, SUITE 15, JOHNSON CITY, TN 37604-6583
(423) 979-0565
(423) 979-0569
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/12/2011
Last updated
03/28/2019
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