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Organization

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Active
Other names
BHMA Internal Medicine Abingdon, Ballad Health Medical Associates, MSMG IM ABG
Organization subpart
No

Provider details

NPI number
Authorized official
CARL STEVEN KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 213, ABINGDON, VA 24211-7664
(276) 258-2600
(276) 258-2611
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 213, ABINGDON, VA 24211-7664
(276) 258-2600
(276) 258-2611

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020487826
DEPARTMENT OF LABOR
VA
05
1699078808
VA
01
DF7910
RAILROAD MEDICARE
VA
Enumeration date
12/09/2010
Last updated
03/29/2019
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