# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRANITE FALLS FAMILY MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679387427
- **Authorized official:** PATRICIA MOLL (SVP/CFO)
- **Authorized official phone:** (828) 580-5003

## Contact information

- **Practice address:** 4132 HICKORY BLVD, GRANITE FALLS, NC 28630-8371
- **Practice address phone:** (828) 396-3168
- **Practice address fax:** (828) 396-8783
- **Mailing address:** 5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
- **Mailing address phone:** (984) 974-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 03/12/2025