Organization · NPI-2

Blue Ridge Healthcare Medical Group, INC.

Family Medicine, Geriatric Medicine · Morganton, NC

NPI number1407203052

StatusActive

Last updated in NPPESFeb 6, 2025

Details

NPI: 1407203052
Entity type: Organization (NPI-2)
Legal business name: Blue Ridge Healthcare Medical Group, INC.
Organization subpart: No
Enumeration date: May 24, 2016
Certification date: Feb 6, 2025
Last updated: Feb 6, 2025

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207QG0300X	Family Medicine, Geriatric Medicine	–	–	Yes
207RG0300X	Internal Medicine, Geriatric Medicine	–	–

Other names

Blue Ridge Geriatrics (Doing Business As)

Practice location

2209 S Sterling St Ste 330
Morganton, NC 28655-4093

Phone 828-580-5706 · Fax 828-580-8033

Mailing address

2209 S Sterling St Ste 330
Morganton, NC 28655-4093

Phone 828-580-5706 · Fax 828-580-8033

Authorized official

Patricia Moll
Svp-Cfo
8285805003

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