Organization
BLUE RIDGE HEALTH LLC
Active
Other names
Blue Ridge Health, Blue Ridge ENT Head Neck Skin Cancer
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRUSHNA RAO (CONTRACTED MANAGING EMPLOYEE)
(503) 334-1856
Entity
Organization
Contact information
Practice address
116 CLARKESVILLE PLZ, CLARKESVILLE, GA 30523-6216
(503) 334-1856
Mailing address
3248 CLARKS BRIDGE RD, GAINESVILLE, GA 30506-3722
(503) 334-1856
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
01/30/2024
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