| Ballad Health Medical Associates | |
|
16000 Johnston Memorial Dr Suite 313 Abingdon VA 24211-7664 | |
| (276) 258-3780 | |
| (276) 258-3776 |
| Full Name | Ballad Health Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
| Authorized Official Name and Position | Carl Steven 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 16000 Johnston Memorial Dr Suite 313 Abingdon VA 24211-7664 Ph: (276) 258-3780 | Ballad Health Medical Associates 16000 Johnston Memorial Dr Suite 313 Abingdon VA 24211-7664 Ph: (276) 258-3780 |
| NPI Number | 1619263068 |
|---|---|
| Provider Enumeration Date | 06/23/2011 |
| Last Update Date | 03/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619263068 | NPI | - | NPPES |
| 1527119 | Medicaid | TN | |
| 622377200 | Other | VA | DEPARTMENT OF LABOR |
| 1619263068 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101052144 (Virginia) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 0024166234 (Virginia) | Secondary |
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Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056 | |
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