Organization
THE BLUE RIDGE CLEMSON ORTHOPAEDIC ASC LLC
Active
Other names
Blue Ridge Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
10630 CLEMSON BLVD STE 200, SENECA, SC 29678-4545
(864) 482-5100
(864) 482-9100
Mailing address
10630 CLEMSON BLVD STE 200, SENECA, SC 29678-4545
(864) 482-5100
(864) 482-9100
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF-068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC040
—
SC
Enumeration date
02/08/2006
Last updated
06/22/2021
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