Organization
COLONIAL ORTHOPAEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BAILEY (CREDENTIALING COORDINATOR)
(804) 571-5106
Entity
Organization
Contact information
Practice address
325 CHARLES H DIMMOCK PKWY STE 100, COLONIAL HEIGHTS, VA 23834-2986
(804) 526-5888
(804) 526-5401
Mailing address
13000 RIVERS BEND BLVD STE D, CHESTER, VA 23836-8632
(804) 526-5888
(804) 530-3015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0101226595
VA
Other
Enumeration date
07/15/2014
Last updated
10/23/2018
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