Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Valdese Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (SVP-CFO)
(828) 580-5003
Entity
Organization
Contact information
Practice address
730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612-8079
(828) 874-4600
(828) 874-8900
Mailing address
730 MALCOLM BLVD STE 150, CONNELLY SPRINGS, NC 28612-8079
(828) 874-4600
(828) 874-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043618523
MEDICAID GROUP ID
NC
Enumeration date
12/15/2014
Last updated
03/14/2025
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