Organization · NPI-2
/Svpblue Ridge Healthcare Medcal Group, INC
Surgery · Morganton, NC
NPI number1003230608
StatusActive
Last updated in NPPESFeb 18, 2014
Details
- NPI
- 1003230608
- Entity type
- Organization (NPI-2)
- Legal business name
- /Svpblue Ridge Healthcare Medcal Group, INC
- Organization subpart
- No
- Enumeration date
- Feb 18, 2014
- Last updated
- Feb 18, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 2011-01454 | NC | Yes |
Other names
- Blue Ridge Surgical Specialists - Marion (Doing Business As)
Practice location
2209 S Sterling StSuite 440
Morganton, NC 28655-4091
Phone 828-580-4230
Mailing address
2209 S Sterling StSuite 440
Morganton, NC 28655-4091
Phone 828-580-4230
Authorized official
Robert G Fritts
Cfo/Svp
8285805545
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