Organization
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Active
Other names
MSMG Neurology OPJohnson City, BHMA Neurology OP Johnson City, Ballad Health Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CARL KILGORE (PRESIDENT)
(423) 302-3051
Entity
Organization
Contact information
Practice address
410 N STATE OF FRANKLIN RD STE 135B, JOHNSON CITY, TN 37604-6972
(423) 431-2350
(423) 431-2372
Mailing address
410 N STATE OF FRANKLIN RD STE 135B, JOHNSON CITY, TN 37604-6972
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
10/22/2018
Last updated
05/02/2025
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