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Contact Information

BLUE RIDGE HEALTHCARE MEDICAL GROUP INC
2201 S STERLING ST
MORGANTON, NC28655-4044
 Phone: 828-580-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BLUE RIDGE HEALTHCARE MEDICAL GROUP INC · (Female)

NPI # 1861743007
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2012
Last updated 06/19/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 28077
  • NC Other 5921614 COLLEGE PINES MEDICAID
  • NC Other 5921615 GRACE HEIGHTS MEDICAID
  • NC Other 5921616 GRACE RIDGE MEDICAID
  • NC Other 2327875 MEDICARE PTAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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