Blue Ridge Healthcare Medical Group, INC.
Internal Medicine, Gastroenterology in Marion, NC. Organization (NPI-2).
NPI number1396017752
StatusActive
Last updated in NPPESFeb 13, 2025
Details
- NPI
- 1396017752
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Healthcare Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Feb 1, 2012
- Certification date
- Feb 13, 2025
- Last updated
- Feb 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 2012-00598 | ND | Yes |
| 207RC0200X | Internal Medicine, Critical Care Medicine | 2004-01186 | NC | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | 2004-01186 | NC |
Other names
- Blue Ridge Multi Specialty Clinic - Marion (Doing Business As)
Practice location
2293 Sugar Hill RdSuite B
Marion, NC 28752-7787
Phone 828-559-2016
Mailing address
2293 Sugar Hill RdSuite B
Marion, NC 28752-7787
Phone 828-559-2016
Authorized official
Patricia Moll
Svp-Cfo
8285805003
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