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BLUE RIDGE HEART & WELLNESS LLC NPI 1104347103


NPI Information

NPI: 1104347103
Provider Name: BLUE RIDGE HEART & WELLNESS, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
300 HICKMAN RD STE 202
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (434) 296-9596
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BLUE RIDGE HEART & WELLNESS, LLC is a cardiovascular disease internal medicine in Charlottesville, VA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BLUE RIDGE HEART & WELLNESS, LLC NPI is 1104347103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 HICKMAN RD STE 202
CHARLOTTESVILLE, VA
ZIP 22911-554
Phone: (434) 296-9596
Fax: (434) 296-9196

The provider's authorized official is Douglas A Stewart .
The authorized official title is Sole Member and has the following contact phone number (434) 296-9596.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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