| Blue Ridge Family Practice & Sports Medicine, P.a. | |
|
942 Tunnel Rd Asheville NC 28805-2025 | |
| (828) 298-7972 | |
| (828) 298-6637 |
| Full Name | Blue Ridge Family Practice & Sports Medicine, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 942 Tunnel Rd, Asheville, North Carolina |
| Authorized Official Name and Position | James Jerome Marnock (PRESIDENT) |
| Authorized Official Contact | 8282987972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Family Practice & Sports Medicine, P.a. 942 Tunnel Rd Asheville NC 28805-2025 Ph: (828) 298-7972 | Blue Ridge Family Practice & Sports Medicine, P.a. 942 Tunnel Rd Asheville NC 28805-2025 Ph: (828) 298-7972 |
| NPI Number | 1629138946 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629138946 | NPI | - | NPPES |
| 0101Y | Other | NC | BCBS OF NC GROUP |
| 54940 | Other | NC | BCBS OF NC INDIVIDUAL |
| 790101Y | Medicaid | NC | |
| 8954940 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9500655 (North Carolina) | Primary |
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