Organization Name: | BLUE RIDGE HEALTHCARE MEDICAL GROUP, INC. |
NPI Number: | 1235372681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT FRITTS (SVP-CFO) |
Mailing Address: | 730 Malcolm Blvd. Suite 220 Rutherford College |
State: | NC US |
Postal Code: | 28671 |
Phone Number: | 8285802250 |
Fax Number: | 8285802252 |
NPI Enumeration Date: | 04/15/2009 |
NPI Last Update Date: | 04/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |