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

Blue Ridge Medical Management Corporation

Organization Surgery Physician · NPI 1508223116

Blue Ridge Medical Management Corporation is a Surgery Physician 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
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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