| Blue Ridge Medical Management Corporation | |
|
100 15th St Nw Norton VA 24273-1616 | |
| (276) 679-9002 | |
| (276) 679-9078 |
| Full Name | Blue Ridge Medical Management Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 15th St Nw, Norton, Virginia |
| Authorized Official Name and Position | Carl Steven Kilgore (PRESIDENT) |
| Authorized Official Contact | 4233023051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Management Corporation 100 15th St Nw Norton VA 24273-1616 Ph: (276) 679-9002 | Blue Ridge Medical Management Corporation 100 15th St Nw Norton VA 24273-1616 Ph: (276) 679-9002 |
| NPI Number | 1164867719 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164867719 | NPI | - | NPPES |
| 020076700 | Other | VA | DEPARTMENT OF LABOR |
| DF7910 | Other | VA | RR MEDICARE |
| 1164867719 | Medicaid | VA |
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