Organization
BLUE RIDGE FAMILY PHYSICIANS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTEN H. AVERY MD (PHYSICIAN)
(919) 787-3448
Entity
Organization
Contact information
Practice address
2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607-6475
(919) 787-3448
(919) 232-0006
Mailing address
2605 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607-6475
(919) 787-3448
(919) 232-0006
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
108015
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013NA
—
NC
Enumeration date
09/29/2006
Last updated
03/06/2009
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