Blue Ridge Surgical, INC

NPI #1982889788 in Blue Ridge, Georgia

Provider Information

NPI Number: 1982889788
Entity Type: Organization
Organization Name: Blue Ridge Surgical, INC
Primary Specialty: Surgery
Enumeration Date: Dec 31, 2007
Last Updated: Dec 31, 2007

Practice Location

Address: 2855 OLD HIGHWAY 5
Address 2: SUITE 109
City: Blue Ridge
State: Georgia
ZIP Code: 30513-6248
Phone: (706) 632-5947

Authorized Official

Name: DR. TIMOTHY SEAN WHITAKER, MD
Title: OWNER
Phone: (706) 632-5947

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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