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BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI 1700264900


NPI Information

NPI: 1700264900
Provider Name: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

Doing Business As: BALLAD HEALTH MEDICAL ASSOCIATES

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
16000 JOHNSTON MEMORIAL DR
SUITE 112
ABINGDON, VA
ZIP 24211
Phone: (276) 258-3780
Get Directions

BLUE RIDGE MEDICAL MANAGEMENT CORPORATION is an endocrinology and diabetes and metabolism internal medicine in Abingdon, VA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. BLUE RIDGE MEDICAL MANAGEMENT CORPORATION NPI is 1700264900. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ballad Health Medical Associates.

The provider's business location address is:

16000 JOHNSTON MEMORIAL DR
SUITE 112
ABINGDON, VA
ZIP 24211-664
Phone: (276) 258-3780
Fax: (276) 258-3776

The provider's authorized official is Carl Steve Kilgore .
The authorized official title is President and has the following contact phone number (423) 302-3051.

The enumeration date for this NPI number is 5/8/2015 and was last updated on 3/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DF7910OTHERVIRGINIARAILROAD MEDICARE
21700264900MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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