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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE RIDGE MEDICAL GROUP PA

Active Organization

BLUE RIDGE MEDICAL GROUP PA is a Primary Care Clinic organization located in RALEIGH, North Carolina. NPI 1770632077 is currently active in the NPPES registry. Verify at CMS.

Primary Care Clinic · RALEIGH, NC

Registration Details

NPI Number
1770632077
Provider Type
Organization
NPI Issued
Jan 9, 2007 (19.619284485141 yrs)
Last Updated
Aug 22, 2020
License
9501610 (NC)

Practice Information

Address
3214 CHARLES B ROOT WYND
SUITE 217
RALEIGH, NC, 276125440
Browse NC providers · Browse ZIP 27612
Phone
9197890909
Fax
9197899168
Primary Specialty
Primary Care Clinic
261QP2300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.