Blue Ridge Medical Management Corporation

NPI #1164867719 in Norton, Virginia

Provider Information

NPI Number: 1164867719
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: May 8, 2013
Last Updated: May 2, 2025

Practice Location

Address: 100 15TH ST NW
City: Norton
State: Virginia
ZIP Code: 24273-1616
Phone: (276) 679-9002

Authorized Official

Name: MR. CARL STEVEN KILGORE
Title: PRESIDENT
Phone: (423) 302-3051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Physician Assistant	363A00000X
Physician Assistant - Medical — Medical	363AM0700X
Nurse Practitioner	363L00000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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