Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Blue Ridge Surgical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (SVP-CFO)
(828) 580-5003
Entity
Organization
Contact information
Practice address
2209 S. STERLING ST., SUITE 530, MORGANTON, NC 28655
(828) 580-4220
(828) 580-4229
Mailing address
2209 S. STERLING ST., SUITE 530, MORGANTON, NC 28655
(828) 580-4220
(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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005-01291
NC LICENSE
NC
05
—
5950577
—
NC
Enumeration date
04/15/2009
Last updated
02/13/2025
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