# BLUE RIDGE FAMILY PHYSICIANS, PLLC

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

## Provider details

- **NPI number:** 1356433155
- **Authorized official:** DR. KIRSTEN H. AVERY MD (PHYSICIAN)
- **Authorized official phone:** (919) 787-3448

## Contact information

- **Practice address:** 2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607-6475
- **Practice address phone:** (919) 787-3448
- **Practice address fax:** (919) 232-0006
- **Mailing address:** 2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607-6475
- **Mailing address phone:** (919) 787-3448
- **Mailing address fax:** (919) 232-0006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 108015 | NC | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 03/06/2009
