OrganizationActive
Blue Ridge Medical Management
NPI 1063819720 · Vascular Surgery Physician · Norton, VA
Provider details
- NPI number
- 1063819720
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President/Ceo(423) 915-5116
- License
- 0101254593 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
98 15th St Nw
Suite 201b
Norton, VA 24273-1600
Phone: (276) 439-1490
Fax: (276) 439-1495
Approximate (ZIP-level) locationGet directions
Mailing address
98 15th St Nw
Norton, VA 24273-1600
Other names (DBA / former)
- Doing business as
- Msmg Vas Surg Nor
Registry dates
- Enumerated
- 2014-11-24
- Last updated
- 2017-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.