Organization
BLUE RIDGE ORTHOPAEDIC ASSOC PA
Active
Other names
Blue Ridge Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO STOKES (ADMINISTRATOR)
(864) 482-6165
Entity
Organization
Contact information
Practice address
10630 CLEMSON BLVD, SUITE 100, SENECA, SC 29678-4546
(864) 482-6000
Mailing address
10630 CLEMSON BLVD, SUITE 100, SENECA, SC 29678-4545
(864) 482-6000
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA4584
—
SC
Enumeration date
07/07/2006
Last updated
09/13/2011
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