Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
BHMA Gastroenterology Abingdon, Ballad Health Medical Associates, MSMG GI ABG
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, STE 304, ABINGDON, VA 24211-7664
(276) 258-3600
(276) 258-3605
Mailing address
16000 JOHNSTON MEMORIAL DR, STE 304, ABINGDON, VA 24211-7664
(276) 258-3600
(276) 258-3605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487834
DEPARTMENT OF LABOR/FECA
VA
05
—
1407142813
—
VI
05
—
Q003310
—
TN
Enumeration date
06/23/2011
Last updated
05/02/2025
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