Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Blue Ridge Nephrology
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G FRITTS (SVP-CFO)
(828) 580-5545
Entity
Organization
Contact information
Practice address
352 E PARKER RD STE B, SUITE A, MORGANTON, NC 28655-5122
(828) 580-3250
(828) 580-3251
Mailing address
PO BOX 601076, CHARLOTTE, NC 28260-1076
(828) 580-3250
(828) 580-3251
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
200300065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950781
—
NC
Enumeration date
06/26/2008
Last updated
05/02/2013
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