Organization · NPI-2

Blue Ridge Healthcare Medical Group, INC.

Family Medicine · Morganton, NC

NPI number1982714002

StatusActive

Last updated in NPPESNov 19, 2012

Details

NPI: 1982714002
Entity type: Organization (NPI-2)
Legal business name: Blue Ridge Healthcare Medical Group, INC.
Organization subpart: No
Enumeration date: Aug 30, 2006
Last updated: Nov 19, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	–	–	Yes
207KA0200X	Allergy & Immunology, Allergy	–	–
207R00000X	Internal Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207RG0100X	Internal Medicine, Gastroenterology	–	–
207RH0003X	Internal Medicine, Hematology & Oncology	–	–
207RP1001X	Internal Medicine, Pulmonary Disease	–	–
207V00000X	Obstetrics & Gynecology	–	–
207X00000X	Orthopaedic Surgery	–	–
207YX0905X	Otolaryngology, Otolaryngology/Facial Plastic Surgery	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
2085R0202X	Radiology, Diagnostic Radiology	–	–
208800000X	Urology	–	–

Practice location

113-A Foothills Drive
Morganton, NC 28655

Phone 828-580-7995 · Fax 828-580-8654

Mailing address

2659 Us Hwy 70e
Valdese, NC 28690

Authorized official

Robert G. Fritts
Svp/Cfo
8285804220

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