Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG FP RURL, Ballad Health Medical Associates, BHMA Family Medicine Rural Retreat
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
7021 WEST LEE HIGHWAY, SUITE C, RURAL RETREAT, VA 24368
(866) 595-3662
(276) 686-6046
Mailing address
7021 WEST LEE HIGHWAY, SUITE C, RURAL RETREAT, VA 24368
(866) 595-3662
(276) 686-6046
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487814
DEPARTMENT OF LABOR
VA
05
—
1447543996
—
VA
Enumeration date
05/17/2011
Last updated
05/02/2025
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