Organization
BLUE RIDGE MEDICAL MANAGMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, MSMG HIMA RCMC, BHMA Hospitalists RCH
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
58 CARROLL ST, ROOM 2037, LEBANON, VA 24266
(276) 883-8062
(276) 883-8064
Mailing address
58 CARROLL ST, ROOM 2037, LEBANON, VA 24266
(276) 883-8062
(276) 883-8064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
623221900
DEPARTMENT OF LABOR
VA
Enumeration date
04/27/2015
Last updated
03/28/2019
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