Organization
BLUE RIDGE WOMEN'S CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN T VENUS M.D. (PRESIDENT)
(336) 835-5945
Entity
Organization
Contact information
Practice address
150 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 835-5945
(336) 835-5974
Mailing address
150 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 835-5945
(336) 835-5974
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200400614
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015YW
BC/BS OF NC
NC
01
—
7260595
AETNA
NC
05
—
89015YW
—
NC
01
—
A9945
MEDCOST
NC
Enumeration date
10/04/2006
Last updated
11/11/2009
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