Organization
BLACKSBURG ORTHOPAEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY PAUL HATCH M.D. (PRESIDENT)
(540) 951-6000
Entity
Organization
Contact information
Practice address
3708 S MAIN ST, SUITE G, BLACKSBURG, VA 24060-7007
(540) 951-6000
(540) 951-9400
Mailing address
3708 S MAIN ST, SUITE G, BLACKSBURG, VA 24060-7007
(540) 951-6000
(540) 951-9400
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101055538
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1178036
FIRST HEALTH
VA
01
—
141234
ANTHEM HEALTH PLANS
VA
01
—
147715
SOUTHERN HEALTH
VA
01
—
349912
ALLIANCE
VA
01
—
5834500
AETNA HEALTH PLANS
VA
Enumeration date
09/06/2006
Last updated
08/22/2020
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