Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Interventional Pain Management Abingdon, MSMG PAIN MGMT ABG
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
601 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 258-1670
(276) 258-1672
Mailing address
601 CAMPUS DR, ABINGDON, VA 24210-9700
(276) 258-1670
(276) 258-1672
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487838
DEPARTMENT OF LABOR/ENERGY & FECA
VA
05
—
1531196
—
TN
05
—
1568726883
—
VA
Enumeration date
07/02/2012
Last updated
05/02/2025
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