Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Inpatient Services JCCH, MSMG IP Services Johnson County
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
1901 S SHADY ST STE A, MOUNTAIN CITY, TN 37683-2021
(423) 727-1103
(423) 727-1140
Mailing address
1901 S SHADY ST STE A, MOUNTAIN CITY, TN 37683-2021
(423) 727-1103
(423) 727-1140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
05/01/2025
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