Blue Ridge Pediatric & Adolescent Medicine, INC
NPI #1114038163 in Boone, North Carolina
Provider Information
- NPI Number
- 1114038163
- Entity Type
- Organization
- Organization Name
- Blue Ridge Pediatric & Adolescent Medicine, INC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jan 10, 2012
Practice Location
- Address
- 579 GREENWAY RD
- Address 2
- SUITE 200
- City
- Boone
- State
- North Carolina
- ZIP Code
- 28607-4809
- Phone
- (828) 262-0100
Authorized Official
- Name
- LAURA HARDEE
- Title
- OFFICE MANAGER
- Phone
- (828) 262-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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