# THE BLUE RIDGE CLEMSON ORTHOPAEDIC ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Blue Ridge Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477526689
- **Authorized official:** MR. JEFFREY SNODGRASS (PRESIDENT)
- **Authorized official phone:** (615) 665-1283

## Contact information

- **Practice address:** 10630 CLEMSON BLVD STE 200, SENECA, SC 29678-4545
- **Practice address phone:** (864) 482-5100
- **Practice address fax:** (864) 482-9100
- **Mailing address:** 10630 CLEMSON BLVD STE 200, SENECA, SC 29678-4545
- **Mailing address phone:** (864) 482-5100
- **Mailing address fax:** (864) 482-9100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF-068 | SC | Yes |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 06/22/2021
