Organization
BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC
Active
Other names
Table Rock Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MOLL (AUTHORIZED OFFICIAL)
(910) 671-5472
Entity
Organization
Contact information
Practice address
301 LINVILLE STREET, GLEN ALPINE, NC 28628
(828) 584-2481
(828) 584-8371
Mailing address
301 LINVILLE ST, MORGANTON, NC 28655-7206
(828) 584-2481
(828) 584-8371
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
03/29/2010
Last updated
03/14/2025
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