Blue Ridge Dermatology PA

NPI #1821083551 in Clyde, North Carolina

Provider Information

NPI Number: 1821083551
Entity Type: Organization
Organization Name: Blue Ridge Dermatology PA
Primary Specialty: Dermatology
Enumeration Date: Sep 19, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 540 HOSPITAL DR
City: Clyde
State: North Carolina
ZIP Code: 28721-8027
Phone: (828) 456-7343

Authorized Official

Name: MICHAEL JASON MASTERS, MD
Title: PRESIDENT TREASURER
Phone: (828) 456-7343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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