Organization
BLUE RIDGE SURGICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY SEAN WHITAKER MD (OWNER)
(706) 632-5947
Entity
Organization
Contact information
Practice address
2855 OLD HIGHWAY 5, SUITE 109, BLUE RIDGE, GA 30513-6248
(706) 632-5947
(706) 632-5950
Mailing address
2855 OLD HIGHWAY 5, SUITE 109, BLUE RIDGE, GA 30513-6248
(706) 632-5947
(706) 632-5950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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