Organization
BLUE RIDGE PEDIATRICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOSEPH DAVANZO MD (GENERAL PARTNER)
(919) 782-0021
Entity
Organization
Contact information
Practice address
3124 BLUE RIDGE RD, SUITE 102, RALEIGH, NC 27612
(919) 782-0021
(919) 571-0825
Mailing address
3124 BLUE RIDGE RD, SUITE 102, RALEIGH, NC 27612
(919) 782-0021
(919) 571-0825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
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