Organization
BLUE RIDGE CARDIOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA MURRAY (OFFICE MANAGER)
(540) 932-5915
Entity
Organization
Contact information
Practice address
70 MEDICAL CENTER CIR, SUITE 211, FISHERSVILLE, VA 22939-2273
(540) 932-5915
(540) 932-5918
Mailing address
70 MEDICAL CENTER CIR, SUITE 211, FISHERSVILLE, VA 22939-2273
(540) 932-5915
(540) 932-5918
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01280
MEDICARE PTAN
VA
Enumeration date
12/29/2005
Last updated
06/02/2008
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