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Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G. FRITTS (SVP/CFO)
(828) 580-4220
Entity
Organization
Contact information
Practice address
113-A FOOTHILLS DRIVE, MORGANTON, NC 28655
(828) 580-7995
(828) 580-8654
Mailing address
2659 US HWY 70E, VALDESE, NC 28690
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
NULL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
Other
Enumeration date
08/30/2006
Last updated
11/19/2012
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