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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Other names
Table Rock Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (AUTHORIZED OFFICIAL)
(910) 671-5472
Entity
Organization
Contact information
Practice address
301 LINVILLE STREET, GLEN ALPINE, NC 28628
(828) 584-2481
(828) 584-8371
Mailing address
301 LINVILLE ST, MORGANTON, NC 28655-7206
(828) 584-2481
(828) 584-8371
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
03/29/2010
Last updated
03/14/2025
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