Blue Ridge Integrative Wellness LLC
Internal Medicine, Pulmonary Disease in Dryden, VA. Organization (NPI-2).
NPI number1083192595
StatusActive
Last updated in NPPESNov 12, 2025
Details
- NPI
- 1083192595
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Integrative Wellness LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2018
- Certification date
- Nov 12, 2025
- Last updated
- Nov 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | Yes |
| 261QR1300X | Clinic/Center, Rural Health | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
512 Dryden LoopDryden, VA 24243
Phone 252-832-1588 · Fax 276-246-1658
Mailing address
189 Dinsmore RdDryden, VA 24243-8378
Phone 276-832-1588 · Fax 276-246-1658
Authorized official
Rodney Terry
Project Director
2524526075
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