Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG Ophthalmology Johnson City, Ballad Health Medical Associates, BHMA Ophthalmology Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 130B, JOHNSON CITY, TN 37604-6972
(423) 431-2477
(423) 431-2478
Mailing address
410 N STATE OF FRANKLIN RD STE 130B, JOHNSON CITY, TN 37604-6972
(423) 431-2477
(423) 431-2478
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/27/2018
Last updated
03/29/2019
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