Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Gastroenterology Physician · Marion, VA

NPI number 1164966909 Active

Practice location

245 Medical Park Dr, Suite E
Marion, VA 24354-1100

Fax (276) 258-3605

Specialties and licenses

Taxonomy	Code	License
Gastroenterology Physician Primary	207RG0100X	None listed

Gastroenterology Physician: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

24 other providers at this address

NPI record

NPI: 1164966909
Entity type: Organization (Type 2)
Issued: Dec 13, 2016
Last updated: Mar 28, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG Gastroenterology Mar · doing business as
Bhma Gastroenterology Marion · other name

Authorized official

Carl Steven Kilgore
President
(423) 302-3051

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164966909

Blue Ridge Medical Management Corporation's National Provider Identifier is 1164966909, issued on Dec 13, 2016. The primary taxonomy on file is Gastroenterology Physician (207RG0100X), and the practice location is in Marion, VA. The record was last updated on Mar 28, 2019.