# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Women's Health Group-Hickory
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568934487
- **Authorized official:** PATRICIA MOLL (SVP-CFO)
- **Authorized official phone:** (828) 580-5003

## Contact information

- **Practice address:** 2134 14TH AVENUE CIR NW, HICKORY, NC 28601-7357
- **Practice address phone:** (828) 580-2129
- **Practice address fax:** (828) 322-3576
- **Mailing address:** 2134 14TH AVENUE CIR NW, HICKORY, NC 28601-7357
- **Mailing address phone:** (828) 580-2129
- **Mailing address fax:** (828) 322-3576

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2018
- **Last updated:** 03/14/2025
