Organization
BLUE RIDGE INTERNAL MEDICINE INC.
Active
Organization
BLUE RIDGE INTERNAL MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ANDREW SMITH DO (PRESIDENT)
(304) 487-0232
Entity
Organization
Contact information
Practice address
407 12TH STREET EXT, PRINCETON, WV 24740-2300
(304) 487-0232
(304) 487-0285
Mailing address
PO BOX 5065, PRINCETON, WV 24740-5065
(304) 487-0232
(304) 487-0285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1804
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003706
—
WV
Enumeration date
10/04/2006
Last updated
07/10/2008
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