Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Gastroenterology Marion, MSMG Gastroenterology MAR
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
245 MEDICAL PARK DR, SUITE E, MARION, VA 24354-1100
(276) 258-3600
(276) 258-3605
Mailing address
245 MEDICAL PARK DR, SUITE E, MARION, VA 24354-1100
(276) 258-3600
(276) 258-3605
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164966909
—
VA
Enumeration date
12/13/2016
Last updated
03/28/2019
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