Organization
ORTHOPEDICS OF SOUTHWEST VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESS JUDY (PRESIDENT)
(615) 565-1508
Entity
Organization
Contact information
Practice address
6719 GOV G.C. PERRY HWY, SUITE 1000, RICHLANDS, VA 24641-2055
(276) 596-6715
(276) 596-6717
Mailing address
6719 GOV G.C. PERRY HWY, SUITE 3650, RICHLANDS, VA 24641-2055
(276) 596-6773
(866) 803-1898
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033147061
—
VA
05
—
3810002851
—
WV
Enumeration date
06/29/2006
Last updated
04/14/2010
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