Organization
BLUE RIDGE HEALTHCARE PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JACOB GILLIAM JR. (MEMBER MANAGER)
(336) 516-7084
Entity
Organization
Contact information
Practice address
602 BRANDON AVE, SUITE 222, ROANOKE, VA 24015
(540) 774-0000
(540) 774-0085
Mailing address
PO BOX 2022, BURLINGTON, NC 27216-2022
(336) 222-9299
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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