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BLUE RIDGE HEALTHCARE MEDICAL GROUP INC. NPI 1568934487


NPI Information

NPI: 1568934487
Provider Name: BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 34D2031047

Address:
2134 14TH AVENUE CIR NW
HICKORY, NC
ZIP 28601
Phone: (828) 580-2129
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BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. is an obstetrics gynecology in Hickory, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. NPI is 1568934487. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2134 14TH AVENUE CIR NW
HICKORY, NC
ZIP 28601-357
Phone: (828) 580-2129
Fax: (828) 322-3576

The provider's authorized official is Robert G Fritts .
The authorized official title is Svp / Cfo and has the following contact phone number (828) 580-6554.

The CLIA number assigned to this NPI record is 34D2031047 - other - radiology clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/18/2018 and was last updated on 12/18/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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