# BLUE RIDGE ENDOCRINOLOGY AND DIABETES PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043531288
- **Authorized official:** SUSAN K BLANK MD (OWNER/PARTNER)
- **Authorized official phone:** (434) 293-7811

## Contact information

- **Practice address:** 199 SPOTNAP RD, SUITE 2, CHARLOTTESVILLE, VA 22911-8827
- **Practice address phone:** (434) 293-7811
- **Practice address fax:** (434) 293-7818
- **Mailing address:** PO BOX 1583, CHARLOTTESVILLE, VA 22902-1583
- **Mailing address phone:** (434) 654-7794
- **Mailing address fax:** (434) 654-7752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | VA | Yes |

## Other

- **Enumeration date:** 06/22/2010
- **Last updated:** 09/28/2010