Organization
BLUE RIDGE MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS IRWIN DASHIELL JR. MD (PRESIDENT)
(864) 457-4500
Entity
Organization
Contact information
Practice address
1504 E RUTHERFORD ST, LANDRUM, SC 29356-1416
(864) 457-4500
(864) 457-2195
Mailing address
1504 E RUTHERFORD ST, LANDRUM, SC 29356-1416
(864) 457-4500
(864) 457-2195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12702
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4059
—
SC
Enumeration date
06/17/2006
Last updated
11/20/2007
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