Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Diabetes and Endocrinology Abingdon, MSMG Diabetes and Endocrinology ABG
Organization subpart
No
Provider details
NPI number
Authorized official
CARL STEVE KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
16000 JOHNSTON MEMORIAL DR, SUITE 112, ABINGDON, VA 24211-7664
(276) 258-3780
(276) 258-3776
Mailing address
16000 JOHNSTON MEMORIAL DR, SUITE 112, ABINGDON, VA 24211-7664
(276) 258-3780
(276) 258-3776
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700264900
—
VA
01
—
DF7910
RAILROAD MEDICARE
VA
Enumeration date
05/08/2015
Last updated
05/02/2025
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