Organization
BLUE RIDGE PAIN MANAGEMENT & PALLIATIVE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BUZZANELL M.D. (PRESIDENT)
(828) 350-9310
Entity
Organization
Contact information
Practice address
3 WALDEN RIDGE DR STE 100, ASHEVILLE, NC 28803-8587
(828) 350-9310
(828) 350-9311
Mailing address
3 WALDEN RIDGE DR STE 100, ASHEVILLE, NC 28803-8587
(828) 350-9310
(828) 350-9311
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0098-00481
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900458
—
NC
Enumeration date
01/23/2007
Last updated
06/29/2021
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