Organization · NPI-2

Blue Ridge Healthcare Medical Group INC

Family Medicine, Geriatric Medicine · Morganton, NC

NPI number1861743007
StatusActive
Last updated in NPPESJun 19, 2013

Details

NPI
1861743007
Entity type
Organization (NPI-2)
Legal business name
Blue Ridge Healthcare Medical Group INC
Organization subpart
No
Enumeration date
Sep 27, 2012
Last updated
Jun 19, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric Medicine28077NCYes

Other names

  • Blue Ridge Long Term Care Medicine (Doing Business As)

Practice location

2201 S Sterling St
Morganton, NC 28655-4044

Phone 828-580-5000

Mailing address

103 Medical Heights Dr
Morganton, NC 28655-5197

Authorized official

Robert G Fritts
Svp/Cfo
8285805000

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