Organization
AUGUSTA ORTHOPEDIC SURGERY, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL B MILLER (OFFICE MANAGER)
(540) 885-1281
Entity
Organization
Contact information
Practice address
108 MACTANLY PLACE, STAUNTON, VA 24401-2373
(540) 885-1281
(540) 885-1282
Mailing address
108 MACTANLY PL, STAUNTON, VA 24401-2373
(540) 885-1281
(540) 885-1282
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
VA
335E00000X
Prosthetic/Orthotic Supplier
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236748
ANTHEM
VA
Enumeration date
08/12/2006
Last updated
09/13/2012
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