Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Women's HealthGroup
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 400, MORGANTON, NC 28655-4091
(828) 580-4661
(828) 580-4698
Mailing address
2209 S STERLING ST, SUITE 400, MORGANTON, NC 28655-4091
(828) 580-4661
(828) 580-4698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100615
LICENSE
NC
01
—
121106
LICENSE
NC
01
—
200400734
LICENSE
NC
01
—
23421
LICENSE
NC
01
—
35513
LICENSE
NC
01
—
39990
LICENSE
NC
01
—
55709
LICENSE
NC
05
—
5950522
—
NC
01
—
9800595
LICENSE
NC
Enumeration date
08/12/2008
Last updated
03/14/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us