OrganizationActive
Blue Ridge Medical Management Corporation
NPI 1508223116 · Surgery Physician · Marion, VA
Provider details
- NPI number
- 1508223116
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carl Kilgore, President(423) 915-5121
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1616 N Main St
Suite 100 B
Marion, VA 24354-4398
Phone: (276) 783-7287
Fax: (276) 783-7786
Approximate (ZIP-level) locationGet directions
Mailing address
509 Medtech Pkwy
Johnson City, TN 37604
Other names (DBA / former)
- Doing business as
- Msmg General Surgery Marion
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.