BLUE RIDGE FAMILY PHYSICIANS PLLC NPI 1356433155

NPI Information

BLUE RIDGE FAMILY PHYSICIANS, PLLC is a primary care clinic center in Raleigh, NC. BLUE RIDGE FAMILY PHYSICIANS, PLLC NPI is 1356433155. The provider is registered as an organization entity type.

The provider's business location address is:

2605 BLUE RIDGE RD
SUITE 300
RALEIGH, NC
ZIP 27607-475
Phone: (919) 787-3448
Fax: (919) 232-0006

The provider's authorized official is Kirsten H. Avery .
The authorized official title is Physician and has the following contact phone number (919) 787-3448.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 3/6/2009.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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