Organization · Type 2 NPI

Blue Ridge Medical Management Corporation

Cardiovascular Disease Physician · Mountain City, TN

NPI number 1982013215 Active

Practice location

1901 S Shady St Ste 1
Mountain City, TN 37683-2021

Fax (423) 727-1268

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

NPI record

NPI: 1982013215
Entity type: Organization (Type 2)
Issued: Aug 12, 2014
Last updated: Mar 29, 2019
Status: Active

Other names

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Ballad Health Medical Associates · doing business as
MSMG Cardiology MTN · doing business as
Bhma Heart and Vascular Care Mountain City · other name

Authorized official

Carl S Kilgore
President
(423) 302-3051

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About NPI 1982013215

Blue Ridge Medical Management Corporation's National Provider Identifier is 1982013215, issued on Aug 12, 2014. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Mountain City, TN. The record was last updated on Mar 29, 2019.