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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Parent organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Other names
McDowell Medical Associates, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Authorized official
MR. ROBERT FRITTS (CHIEF FINANCIAL OFFICER)
(828) 580-5000
Entity
Organization
Contact information
Practice address
1860 SUGAR HILL RD, MARION, NC 28752-5565
(828) 652-8727
(828) 652-8793
Mailing address
1860 SUGAR HILL RD, MARION, NC 28752-5565
(828) 652-8727
(828) 652-8793
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40576
NC
208000000X
Pediatrics Physician
40576
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023T1
BCBSNC
NC
01
—
34D0699936
CLIA #
NC
01
—
34D0947561
CLIA
NC
05
—
5915267
—
NC
05
—
690168L
—
NC
Enumeration date
04/19/2006
Last updated
09/27/2011
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