Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Other names
Women's Health Care PA
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G FRITTS (SENIOR VICE-PRESIDENT)
(828) 580-4220
Entity
Organization
Contact information
Practice address
721 D MALCOLM BLVD., RUTHERFORD COLLEGE, NC 28671
(828) 874-2731
(828) 879-4888
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260-1076
(828) 874-2731
(828) 879-4888
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9442
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0673278
CLIA
NC
Enumeration date
09/03/2013
Last updated
09/29/2014
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