NPI 1104347103 · live from the CMS NPI Registry
Blue Ridge Heart & Wellness, LLC
Internal Medicine, Cardiovascular Disease in Charlottesville, VA. National Provider Identifier 1104347103, active.
NPI record
| NPI | 1104347103 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 300 Hickman Rd Ste 202, Charlottesville, VA 22911 |
| Practice phone | 434-296-9596 |
| Enumerated | June 29, 2017 |
| Last updated | July 21, 2022 |
| Authorized official | Douglas Stewart, Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.