| Blue Ridge Healthcare Partners, Llc | |
|
602 Brandon Ave Suite 222 Roanoke VA 24015 | |
| (540) 774-0000 | |
| (540) 774-0085 |
| Full Name | Blue Ridge Healthcare Partners, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 602 Brandon Ave, Roanoke, Virginia |
| Authorized Official Name and Position | John Jacob Gilliam (MEMBER MANAGER) |
| Authorized Official Contact | 3365167084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Healthcare Partners, Llc Po Box 2022 Burlington NC 27216-2022 Ph: (336) 222-9299 | Blue Ridge Healthcare Partners, Llc 602 Brandon Ave Suite 222 Roanoke VA 24015 Ph: (540) 774-0000 |
| NPI Number | 1518304955 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518304955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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