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Organization

ORTHOPAEDIC SURGERY & SPORTS MED SPECIALIST OF HAMPTON RDS PC

Active
Other names
Orthopaedic & Spine Center
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY R CARLSON MD (MANAGING PARTNER)
(757) 596-1900
Entity
Organization

Contact information

Practice address
250 NAT TURNER BLVD, NEWPORT NEWS, VA 23606
(757) 596-1900
(757) 591-8560
Mailing address
250 NAT TURNER BLVD, NEWPORT NEWS, VA 23606
(757) 596-1900
(866) 420-0168

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006401538
VA
05
006407188
VA
05
006409431
VA
05
006451781
VA
05
010033594
VA
05
010179912
VA
05
8947465
VA
Enumeration date
12/12/2006
Last updated
06/10/2020
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