Blue Ridge Family Medicine
NPI #1669178430 in Rural Retreat, Virginia
Provider Information
- NPI Number
- 1669178430
- Entity Type
- Organization
- Organization Name
- Blue Ridge Family Medicine
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 3, 2023
- Last Updated
- Oct 14, 2024
Practice Location
- Address
- 445 GIENOW RD
- City
- Rural Retreat
- State
- Virginia
- ZIP Code
- 24368-3210
- Phone
- (276) 686-4007
Authorized Official
- Name
- KIIMBERLY LACY, DO
- Title
- PHYSICIAN
- Phone
- (276) 686-4007
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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