Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Heart and Vascular Care Marion, MSMG Cardiology MAR
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
245 MEDICAL PARK DR, SUITE A, MARION, VA 24354-1100
(276) 378-1260
(276) 378-1265
Mailing address
245 MEDICAL PARK DR, SUITE A, MARION, VA 24354-1100
(276) 378-1260
(276) 378-1265
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326159567
—
VA
05
—
7100108970
—
KY
Enumeration date
08/31/2006
Last updated
03/29/2019
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