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Organization

BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.

Active
Other names
Blue Ridge Surgical Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT FRITTS (SVP-CFO)
(828) 580-5545
Entity
Organization

Contact information

Practice address
730 MALCOLM BLVD., SUITE 220, RUTHERFORD COLLEGE, NC 28671
(828) 879-3572
(828) 580-4229
Mailing address
2201 S. STERLING ST., MORGANTON, NC 28655
(828) 879-3572
(828) 580-4229

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2086S0129X
Vascular Surgery Physician
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other

Enumeration date
05/27/2009
Last updated
04/21/2010
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