Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, MSMG NEPH ABG, BHMA Nephrology Abingdon
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 312C, ABINGDON, VA 24211-7664
(276) 258-1985
(276) 258-1989
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 312C, ABINGDON, VA 24211-7664
(276) 258-1985
(276) 258-1989
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184003873
—
VA
01
—
622929000
DEPARTMENT OF LABOR
VA
01
—
DF7910
RR MEDICARE
VA
Enumeration date
05/27/2015
Last updated
05/02/2025
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