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Organization

BLUE RIDGE ORTHOPAEDIC ASSOCIATES PC

Active
Other names
Blue Ridge Orthopaedic & Spine Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFRY M HOLLIS C.P.A. (C.E.O.)
(540) 347-9220
Entity
Organization

Contact information

Practice address
52 W. SHIRLEY AVE, WARRENTON, VA 20186-3008
(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
207X00000X
Orthopaedic Surgery Physician
Primary
C00617
207X00000X
Orthopaedic Surgery Physician
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
10/02/2006
Last updated
10/03/2014
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