Blue Ridge Family Practice Assoc
NPI #1932185204 in Clyde, North Carolina
Provider Information
- NPI Number
- 1932185204
- Entity Type
- Organization
- Organization Name
- Blue Ridge Family Practice Assoc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Dec 19, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 243 JONES COVE RD
- City
- Clyde
- State
- North Carolina
- ZIP Code
- 28721-9483
- Phone
- (828) 627-3411
Authorized Official
- Name
- DONALD R TEATER, MD
- Title
- PRES CORP
- Phone
- (828) 627-3411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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