Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
Ballad Health Medical Associates, BHMA Heart and Vascular Care Abingdon, MSMG Cardiology 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 DRIVE, SUITE 212A, ABINGDON, VA 24211
(276) 258-3740
(276) 258-3745
Mailing address
16000 JOHNSTON MEMORIAL DRIVE, SUITE 212A, ABINGDON, VA 24211
(276) 258-3740
(276) 258-3745
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020487843
DEPARTMENT OF LABOR
VA
05
—
1902938871
—
VA
05
—
7100108940
—
KY
01
—
DF7910
RAILROAD MEDICARE
VA
05
—
Q021416
—
TN
Enumeration date
03/09/2007
Last updated
03/29/2019
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