| NPI | 1962645135 |
|---|---|
| Doing Business As | BLUE RIDGE UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN SMITH CFO 828-766-1740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-20 |