Organization
BLUE RIDGE MEDICAL MANAGEMENT C ORPORATION
Active
Other names
Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (VP)
(423) 302-3051
Entity
Organization
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5537
(423) 783-5579
Mailing address
509 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-2579
(423) 302-6565
(423) 952-2175
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
12/12/2022
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