Ballad Health Medical Associates | |
16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 | |
(276) 258-3733 | |
(276) 258-3734 |
Full Name | Ballad Health Medical Associates |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 16000 Johnston Memorial Dr, Abingdon, Virginia |
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 16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 Ph: (276) 258-3733 | Ballad Health Medical Associates 16000 Johnston Memorial Dr Suite 312 Abingdon VA 24211-7659 Ph: (276) 258-3733 |
NPI Number | 1669793493 |
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Provider Enumeration Date | 06/16/2010 |
Last Update Date | 03/29/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669793493 | NPI | - | NPPES |
1669793493 | Medicaid | VA | |
020487832 | Other | VA | DEPARTMENT OF LABOR/BLACK LUNG |
020487844 | Other | VA | DEPARTMENT OF LABOR/ENERGY & FECA |
DF7910 | Other | VA | RAILROAD MEDICARE |
7100161550 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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