| As Above | |
|
560 Malcolm Blvd. Suite F Rutherford College NC 28671-0848 | |
| (828) 879-3400 | |
| (828) 879-3403 |
| Full Name | As Above |
|---|---|
| Speciality | Family Medicine |
| Location | 560 Malcolm Blvd., Rutherford College, North Carolina |
| Authorized Official Name and Position | Gowri Devi Sathiraju (DR) |
| Authorized Official Contact | 8288793400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| As Above 560 Malcolm Blvd Suite F Rutherford College NC 28671 Ph: (828) 879-3400 | As Above 560 Malcolm Blvd. Suite F Rutherford College NC 28671-0848 Ph: (828) 879-3400 |
| NPI Number | 1174671275 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 04/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174671275 | NPI | - | NPPES |
| 014W | Other | NC | BLUE CROSS BLUE SHIELD |
| 2332147 | Other | NC | MEDICARE PTAN |
| 89014MW | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 200001429 (North Carolina) | Primary |
| 207R00000X | Internal Medicine | 9901311 (North Carolina) | Secondary |
Blue Ridge Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 Phone: 828-580-8220 Fax: 828-580-3392 | |
Rutherford College Family Medical Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd., Suite 230, Rutherford College, NC 28671 Phone: 828-874-2811 Fax: 828-874-0318 | |
Jamie S. Young, Md, Phd, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 560 Malcolm Blvd., Suite G-2, Rutherford College, NC 28671 Phone: 828-879-4567 | |
Hilltop Family Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Hilltop Street, Rutherford College, NC 28671 Phone: 828-874-4600 Fax: 828-874-8900 | |
Blue Ridge Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 Malcolm Blvd, Suite 100, Rutherford College, NC 28671 Phone: 828-580-8220 Fax: 828-874-8674 | |
Valdese Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 99 Griffin Street, Rutherford College, NC 28671 Phone: 828-874-1316 Fax: 828-874-1092 |