Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Ridgeview Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G FRITTS (SVP-CFO)
(828) 580-5545
Entity
Organization
Contact information
Practice address
111 FOOTHILLS DR STE B, MORGANTON, NC 28655-5123
(828) 580-8000
(828) 580-8010
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260
(828) 580-8000
(828) 580-8010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024K3
BLUE CROSS BLUE SHIELD
NC
05
—
5906995
—
NC
Enumeration date
08/16/2007
Last updated
09/13/2012
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