# BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MSMG OB GYN RURL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609160571
- **Authorized official:** CARL STEVEN KILGORE (PRESIDENT)
- **Authorized official phone:** (423) 915-5116

## Contact information

- **Practice address:** 7021 W LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
- **Practice address phone:** (276) 686-3067
- **Practice address fax:** (276) 686-2051
- **Mailing address:** 7021 WEST LEE HIGHWAY, SUITE B, RURAL RETREAT, VA 24368-0000
- **Mailing address phone:** (276) 686-3067
- **Mailing address fax:** (276) 686-2051

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 06/08/2011