Organization
BLUE RIDGE NEUROPSYCHOLOGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RANDOLPH HILL PH.D. (OWNER/PRESIDENT)
(828) 684-9123
Entity
Organization
Contact information
Practice address
6 HERMAN AVENUE EXT, SUITE A, ASHEVILLE, NC 28803-9106
(828) 684-9123
Mailing address
6 HERMAN AVENUE EXT, SUITE A, ASHEVILLE, NC 28803-9106
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013WY
BCBS
NC
05
—
6000174
—
NC
Enumeration date
09/26/2006
Last updated
10/03/2022
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