Blue Ridge Medical Management Corporation
Hospitalist in Kingsport, TN. Organization (NPI-2).
NPI number1669918314
StatusActive
Last updated in NPPESMar 29, 2019
Details
- NPI
- 1669918314
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Medical Management Corporation
- Organization subpart
- No
- Enumeration date
- Jan 18, 2017
- Last updated
- Mar 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | – | – | Yes |
Other names
- Ballad Health Medical Associates (Doing Business As)
- Bhma Transitional Care Kingsport (Other Name)
- Msmg Transitional Care (Doing Business As)
Practice location
2000 Brookside Dr1st Floor Room 12
Kingsport, TN 37660-4627
Phone 423-857-5907 · Fax 423-857-5904
Mailing address
2000 Brookside Dr1st Floor Room 12
Kingsport, TN 37660-4627
Phone 423-857-5907 · Fax 423-857-5904
Authorized official
Carl Steven Kilgore
President
4233023051
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