Organization
BLUE RIDGE INTEGRATIVE WELLNESS LLC
Active
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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