Organization
BLUE RIDGE ORTHOPAEDIC ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY HOLLIS (CEO)
(540) 347-9220
Entity
Organization
Contact information
Practice address
52 W. SHIRLEY AVE., WARRENTON, VA 20186
(540) 347-9220
(540) 347-0492
Mailing address
52 W SHIRLEY AVE, WARRENTON, VA 20186-3008
(540) 347-9220
(540) 347-0492
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003697
VA
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
Update your record
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