Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Other names
Blue Ridge Multispecialty Clinic - Lenoir
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (SVP - CFO)
(828) 580-5003
Entity
Organization
Contact information
Practice address
1208 HICKORY BLVD SW STE 102, LENOIR, NC 28645-6461
(828) 991-3278
(828) 580-3283
Mailing address
1208 HICKORY BLVD SW STE 102, LENOIR, NC 28645-6461
(828) 991-3278
(828) 580-3283
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2011-00879
NC
207RG0100X
Gastroenterology Physician
2012-00598
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
2011-00879
NC
207Y00000X
Otolaryngology Physician
2013-00091
NC
208600000X
Surgery Physician
2009-01071
NC
208800000X
Urology Physician
9900164
NC
Other
Enumeration date
04/30/2012
Last updated
02/13/2025
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