| Ballad Health Medical Associates | |
|
403 N State Of Franklin Rd Johnson City TN 37604-6034 | |
| (423) 431-7047 | |
| (423) 979-0569 |
| Full Name | Ballad Health Medical Associates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 403 N State Of Franklin Rd, Johnson City, Tennessee |
| Authorized Official Name and Position | Carl S Kilgore (PRESIDENT) |
| Authorized Official Contact | 4233023051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballad Health Medical Associates 403 N State Of Franklin Rd Johnson City TN 37604-6034 Ph: (423) 431-7047 | Ballad Health Medical Associates 403 N State Of Franklin Rd Johnson City TN 37604-6034 Ph: (423) 431-7047 |
| NPI Number | 1093120222 |
|---|---|
| Provider Enumeration Date | 06/26/2014 |
| Last Update Date | 03/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093120222 | NPI | - | NPPES |
| 1093120222 | Medicaid | VA | |
| Q013746 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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