# BLUE RIDGE PHYSICIANS FOR WOMEN, INC

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

## Provider details

- **NPI number:** 1194082149
- **Authorized official:** CARLOS J BLATTNER (CONSULTANT)
- **Authorized official phone:** (276) 236-2909

## Contact information

- **Practice address:** 227 HOSPITAL DR, GALAX, VA 24333-2228
- **Practice address phone:** (276) 236-2909
- **Practice address fax:** (276) 236-8845
- **Mailing address:** PO BOX 25866, WINSTON SALEM, NC 27114-5866
- **Mailing address phone:** (336) 714-2500
- **Mailing address fax:** (336) 714-2556

## Taxonomy

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

## Other

- **Enumeration date:** 04/16/2012
- **Last updated:** 02/19/2013