Blue Ridge Concierge Medicine Llc

LBN: Blue Ridge Concierge Medicine Llc
Blue Ridge Concierge Medicine Llc is an health care organization with primary practice located at 101 Riverstone Vis Ste 203 , Blue Ridge GA 30513-6668. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Blue Ridge Concierge Medicine Llc can be contacted via phone (706) 946-4240, or through Tidman, Raymond via phone (706) 946-4240.

Contact Information

Primary practice address
101 Riverstone Vis Ste 203 Blue Ridge GA 30513-6668
Phone: (706) 946-4240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tidman, Raymond Doctor of Medicine (MD)
Phone: (706) 946-4240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1013504174
LBN Legal business name Blue Ridge Concierge Medicine Llc
DBA Doing business as
Authorized official Tidman, Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2020
Last updated Dec 23rd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013504174 NPPES
Georgia Other 32826 LICENSE

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