Blue Ridge Healthcare Medical Group, Inc.

NPI #1306936570 in Rutherford College, North Carolina

Provider Information

NPI Number: 1306936570
Entity Type: Organization
Organization Name: Blue Ridge Healthcare Medical Group, Inc.
Primary Specialty: Urology
Enumeration Date: Oct 16, 2006
Last Updated: Apr 23, 2010

Practice Location

Address: 560 MALCOLM BLVD
Address 2: SUITE F
City: Rutherford College
State: North Carolina
ZIP Code: 28671
Phone: (828) 879-8240

Authorized Official

Name: ROBERT FRITTS
Title: SVP/CFO
Phone: (828) 580-5545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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