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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Ridgeview Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G FRITTS (SVP-CFO)
(828) 580-5545
Entity
Organization
Contact information
Practice address
111 FOOTHILLS DR STE B, MORGANTON, NC 28655-5123
(828) 580-8000
(828) 580-8010
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260
(828) 580-8000
(828) 580-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024K3
BLUE CROSS BLUE SHIELD
NC
05
—
5906995
—
NC
Enumeration date
08/16/2007
Last updated
09/13/2012
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