Blue Ridge Healthcare Medical Group, INC.
Internal Medicine, Gastroenterology in Morganton, NC. Organization (NPI-2).
NPI number1902069693
StatusActive
Last updated in NPPESFeb 6, 2025
Details
- NPI
- 1902069693
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Ridge Healthcare Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Jul 3, 2008
- Certification date
- Feb 6, 2025
- Last updated
- Feb 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 200800387 | NC | Yes |
Other names
- Blue Ridge Digestive Health (Doing Business As)
Practice location
2209 S Sterling StSuite 200
Morganton, NC 28655-4091
Phone 828-580-6752 · Fax 828-580-6754
Mailing address
2209 S Sterling StSuite 200
Morganton, NC 28655-4091
Phone 828-580-6752 · Fax 828-580-6754
Authorized official
Patricia Moll
Chief Financial Officer
8285805003
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