Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
BHMA Neurosurgery and Spine Abingdon, MSMG NEUROSURG ABG, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT/CEO)
(423) 302-3051
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 312A, ABINGDON, VA 24211-7659
(423) 431-2350
(423) 431-2372
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 312A, ABINGDON, VA 24211-7659
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497057491
—
VA
Enumeration date
11/23/2010
Last updated
03/29/2019
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