Organization
BLUE RIDGE INTEGRATIVE WELLNESS LLC
Active
Other names
The Carson Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY TERRY (PROJECT DIRECTOR)
(252) 452-6075
Entity
Organization
Contact information
Practice address
512 DRYDEN LOOP, DRYDEN, VA 24243
(252) 832-1588
(276) 246-1658
Mailing address
189 DINSMORE RD, DRYDEN, VA 24243-8378
(276) 832-1588
(276) 246-1658
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
08/06/2018
Last updated
11/12/2025
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