Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, MSMG Pediatric Pulmonology Johnson City, BHMA Pediatric Pulmonology Johnson City
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
408 N STATE OF FRANKLIN RD STE 31G, JOHNSON CITY, TN 37604-6088
(423) 431-4946
(423) 431-4947
Mailing address
408 N STATE OF FRANKLIN RD STE 31G, JOHNSON CITY, TN 37604-6088
(423) 431-4946
(423) 431-4947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
08/20/2018
Last updated
05/02/2025
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