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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Blue Ridge Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G FRITTS (SVP-CFO)
(828) 580-5545
Entity
Organization
Contact information
Practice address
352 E PARKER RD STE B, SUITE A, MORGANTON, NC 28655-5122
(828) 580-3250
(828) 580-3251
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260-1076
(828) 580-3250
(828) 580-3251
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200300065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950781
—
NC
Enumeration date
06/26/2008
Last updated
05/02/2013
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