Organization
BLUE RIDGE FAMILY PRACTICE & SPORTS MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JEROME MARNOCK M.D. (PRESIDENT)
(828) 298-7972
Entity
Organization
Contact information
Practice address
942 TUNNEL RD, ASHEVILLE, NC 28805-2025
(828) 298-7972
(828) 298-6637
Mailing address
942 TUNNEL RD, ASHEVILLE, NC 28805-2025
(828) 298-7972
(828) 298-6637
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9500655
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101Y
BCBS OF NC GROUP
NC
01
—
54940
BCBS OF NC INDIVIDUAL
NC
05
—
790101Y
—
NC
05
—
8954940
—
NC
Enumeration date
12/08/2006
Last updated
08/22/2020
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