Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
BHMA Pediatrics Greene Mountain, Ballad Health Medical Associates, MSMG Greene Mountain Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT/CEO)
(423) 302-3051
Entity
Organization
Contact information
Practice address
428 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-1950
(423) 278-1973
Mailing address
428 E VANN RD, GREENEVILLE, TN 37743-7202
(423) 278-1950
(423) 278-1973
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2017
Last updated
12/09/2025
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