OrganizationActive
Blue Ridge Healthcare Medical Group, Inc.
NPI 1720318009 · Urology Physician · Connelly Springs, NC
Provider details
- NPI number
- 1720318009
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Moll, Svp-Cfo(828) 580-5003
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079
Phone: (828) 580-7962
Fax: (828) 580-3392
Approximate (ZIP-level) locationGet directions
Mailing address
730 Malcolm Blvd Ste 100
Connelly Springs, NC 28612-8079
Other names (DBA / former)
- Doing business as
- Blue Ridge Healthcare Urology
- Doing business as
- Blue Ridge Healthcare Urology
Registry dates
- Enumerated
- 2010-01-08
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.