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 1508223116

Blue Ridge Medical Management Corporation provides Surgery Physician services in Marion, Virginia. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

1616 N Main St Ste 100 B
Marion, VA 24354-4398 Not confirmed with CMS for 10 years — call before visiting
Phone: (276) 783-7287
Fax: (276) 783-7786
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 number1508223116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5121
Other names Msmg General Surgery Marion
NPI enumeratedJanuary 27, 2016
Last updated in NPPESJanuary 27, 2016
Mailing address509 Medtech Pkwy, Suite 100, Johnson City, TN 37604

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