| Blue Ridge Mountain Internal Medicine Pc | |
|
17 Barclay St Ellijay GA 30540-3309 | |
| (706) 635-7231 | |
| (706) 635-7232 |
| Full Name | Blue Ridge Mountain Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 17 Barclay St, Ellijay, Georgia |
| Authorized Official Name and Position | Robert K Bond (PRESIDENT/OVNER) |
| Authorized Official Contact | 7066357231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Mountain Internal Medicine Pc 17 Barclay St Ellijay GA 30540-3309 Ph: (706) 635-7231 | Blue Ridge Mountain Internal Medicine Pc 17 Barclay St Ellijay GA 30540-3309 Ph: (706) 635-7231 |
| NPI Number | 1528223633 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528223633 | NPI | - | NPPES |
| 00242141A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 020408 (Georgia) | Primary |
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