Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Blue Ridge Medical Management Corporation

Organization Surgery Physician · NPI 1437462025

Blue Ridge Medical Management Corporation provides Surgery Physician services in Lebanon, Virginia. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

58 Carroll St Ste 2
Lebanon, VA 24266-0000 Not confirmed with CMS for 15 years — call before visiting
Phone: (276) 883-8085
Fax: (276) 883-8090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X

Record details

NPI number1437462025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Gen Surg Leb
NPI enumeratedJuly 23, 2010
Last updated in NPPESOctober 29, 2010
Mailing addressPo Box 3700, Johnson City, TN 37602-3700

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