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 |
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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 |
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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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Ballad Health Medical Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Professional Park Dr, Suite 15, Johnson City, TN 37604 Phone: 423-979-0565 Fax: 423-979-0569 |