Blue Ridge Medical Management Corporation

NPI #1457821019 in Lebanon, Virginia

Provider Information

NPI Number: 1457821019
Entity Type: Organization
Organization Name: Blue Ridge Medical Management Corporation
Primary Specialty: Internal Medicine
Enumeration Date: Nov 27, 2018
Last Updated: May 2, 2025

Practice Location

Address: 71 S FLANNAGAN AVE SUITE 81
City: Lebanon
State: Virginia
ZIP Code: 24266
Phone: (276) 883-8029

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Sleep Medicine — Sleep Medicine	207RS0012X
Internal Medicine	207R00000X	Primary

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