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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Blue Ridge Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FRITTS (SVP/CFO)
(828) 580-5545
Entity
Organization
Contact information
Practice address
730 MALCOLM BLVD, SUITE 150, RUTHERFORD COLLEGE, NC 28671
(828) 879-8684
(828) 879-8459
Mailing address
730 MALCOLM BLVD., SUITE 150, RUTHERFORD COLLEGE, NC 28671
(828) 879-8684
(828) 879-8459
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
04/23/2010
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