| NPI | 1528113008 |
|---|---|
| Former Legal Business Name | BREAST CARE SPECIALISTS OF THE BLUE RIDGE |
| Entity Type | Organization |
| Authorized Contact | JOHN HANSEN General Manager 540-344-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |