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

Blue Ridge Medical Management Corporation

Organization Internal Medicine Physician · NPI 1891958617

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

In the registry since
2008

Practice location Address checks out

71 S Flannagan Ave
Lebanon, VA 24266-4515
Phone: (276) 883-8030
Fax: (276) 883-8034
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1891958617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Kilgore — President · (423) 915-5116
Other names Msmg Im Leb
NPI enumeratedJuly 2, 2008
Last updated in NPPESOctober 29, 2010
Mailing addressPo Box 3700, Johnson City, TN 37602-3700

Other providers in Lebanon