Organization
VALLEY RIVER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN A CASSELL MD (PRESIDENT)
(828) 835-9555
Entity
Organization
Contact information
Practice address
125 MEDICAL PARK LANE, SUITE G, MURPHY, NC 28906
(828) 835-9455
(828) 835-7065
Mailing address
125 MEDICAL PARK LANE, SUITE G, MURPHY, NC 28906
(828) 835-9455
(828) 835-7065
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105G
BCBS
NC
05
—
890105G
—
NC
Enumeration date
07/04/2006
Last updated
08/22/2020
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