Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG UROLOGY MAR, BHMA Urology Marion, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
1201 SNIDER ST, MARION, VA 24354-4221
(276) 783-5400
(276) 783-5521
Mailing address
1201 SNIDER ST, MARION, VA 24354-4221
(276) 783-5400
(276) 783-5521
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386936078
—
VA
01
—
DF7910
RAILROAD MEDICARE
VA
Enumeration date
05/12/2011
Last updated
05/02/2025
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