Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG Cardiology NOR, Ballad Health Medical Associates, BHMA Heart and Vascular Care Norton
Organization subpart
No
Provider details
NPI number
Authorized official
C STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
98 15TH ST NW STE 207, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Mailing address
98 15TH ST NW STE 207, NORTON, VA 24273-1600
(276) 439-1490
(276) 439-1495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487802
DEPARTMENT OF LABOR
VA
05
—
1487765624
—
VA
05
—
7100074010
—
KY
05
—
7100133630
—
KY
01
—
DF7910
RAILROAD MEDICARE
VI
Enumeration date
08/31/2006
Last updated
03/29/2019
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