Blue Ridge Internal Medicine Inc.
NPI #1558557090 in Princeton, West Virginia
Provider Information
- NPI Number
- 1558557090
- Entity Type
- Organization
- Organization Name
- Blue Ridge Internal Medicine Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- BLUE RIDGE INTERNAL MEDICINE INC.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 19, 2007
- Last Updated
- Jul 10, 2008
Practice Location
- Address
- 407 12TH STREET EXT
- City
- Princeton
- State
- West Virginia
- ZIP Code
- 24740-2300
- Phone
- (304) 487-0232
Authorized Official
- Name
- MS. JACINDA SANTON SMITH
- Title
- ADMINISTRATOR
- Phone
- (304) 487-0232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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