Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blue Ridge Medical Management Corporation

Organization Pediatrics Physician · NPI 1295903565

Blue Ridge Medical Management Corporation is a Pediatrics Physician in Lebanon, Virginia. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

344 Overlook Dr
Lebanon, VA 24266-3436
Phone: (276) 889-0201
Fax: (276) 889-0081
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1295903565
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Peds Leb
NPI enumeratedFebruary 20, 2008
Last updated in NPPESOctober 29, 2010
Mailing addressPo Box 3700, Johnson City, TN 37602-3700

Other providers in Lebanon