Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Active
Other names
Blue Ridge HealthCare Urology
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (SVP-CFO)
(828) 580-5003
Entity
Organization
Contact information
Practice address
730 MALCOLM BLVD STE 100, CONNELLY SPRINGS, NC 28612-8079
(828) 580-7962
(828) 580-3392
Mailing address
730 MALCOLM BLVD STE 100, CONNELLY SPRINGS, NC 28612-8079
(828) 580-7962
(828) 580-3392
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1227Y
BCBS
NC
05
—
891227Y
—
NC
Enumeration date
01/08/2010
Last updated
02/13/2025
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