Organization
BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION
Active
Organization
BLUE RIDGE MEDICAL MANAGGEMENT CORPORATION
Active
Other names
BHMA Urgent Care Kingsport, Ballad Health Medical Associates, First Assist Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
CARL S KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
4600 FORT HENRY DR, KINGSPORT, TN 37663
(423) 224-3950
(423) 224-3959
Mailing address
4600 FORT HENRY DR, KINGSPORT, TN 37663
(423) 224-3950
(423) 224-3959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532903
—
TN
05
—
1649518309
—
VA
01
—
CA5744
RAILROAD MEDICARE
TN
Enumeration date
01/30/2013
Last updated
10/07/2025
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