Organization
BLUE RIDGE GENERAL SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A ROBINSON (SECRETARY TREASURER)
(828) 765-9933
Entity
Organization
Contact information
Practice address
8017 NINETEEN E HIGHWAY, SPRUCE PINE, NC 28777
(828) 765-9933
Mailing address
8017 NINETEEN E HIGHWAY, SPRUCE PINE, NC 28777
(828) 765-9933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9601047
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03150
BCBS OF NC
NC
01
—
1709469
UNITED HEALTHCARE
NC
05
—
8910603
—
NC
Enumeration date
04/23/2007
Last updated
08/22/2020
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