Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Orthopedics Marion, MSMG Orthopedics Marion
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
1616 N MAIN ST, STE 100A, MARION, VA 24354-4473
(276) 783-9752
(276) 783-7786
Mailing address
1616 N MAIN ST, STE 100A, MARION, VA 24354-4473
(276) 783-9752
(276) 783-7786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487804
DEPARTMENT OF LABOR
VA
05
—
1215395843
—
VA
Enumeration date
02/10/2016
Last updated
05/02/2025
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