# BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- **Other names:** McDowell Medical Associates, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710211560
- **Legal business name:** BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
- **Authorized official:** PATRICIA MOLL (SVP-CFO)
- **Authorized official phone:** (828) 580-5003

## Contact information

- **Practice address:** 5920 US HIGHWAY 70 E, NEBO, NC 28761-9565
- **Practice address phone:** (828) 652-8727
- **Practice address fax:** (828) 652-8793
- **Mailing address:** 5920 US HIGHWAY 70 E, NEBO, NC 28761-9565
- **Mailing address phone:** (828) 659-9703
- **Mailing address fax:** (828) 652-8793

## Taxonomy

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

## Other

- **Enumeration date:** 09/28/2009
- **Last updated:** 03/12/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02082 | BLUE CROSS BLUE SHIELD OF NC | NC |
| 01 | — | 34D0947561 | CLIA | NC |
| 05 | — | 690168L | — | NC |