| Novant Health Blue Ridge Medical Associates | |
|
201 Executive Park Blvd Winston Salem NC 27103-1503 | |
| (336) 774-9000 | |
| (336) 774-9012 |
| Full Name | Novant Health Blue Ridge Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 Executive Park Blvd, Winston Salem, North Carolina |
| Authorized Official Name and Position | Geoffrey Gardner (VP FINANCE, NMG) |
| Authorized Official Contact | 7043849094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Novant Health Blue Ridge Medical Associates Po Box 60447 Charlotte NC 28260-0447 Ph: (704) 384-7840 | Novant Health Blue Ridge Medical Associates 201 Executive Park Blvd Winston Salem NC 27103-1503 Ph: (336) 774-9000 |
| NPI Number | 1154693018 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 11/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154693018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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