Organization
ORTHOVIRGINIA CARE MANAGEMENT LLC
Active
Parent organization
ORTHOVIRGINIA CARE MANAGEMENT LLC ORTHOVIRGINIA INC SOLE MBR
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOVIRGINIA CARE MANAGEMENT LLC ORTHOVIRGINIA INC SOLE MBR
Authorized official
DALE INGRAM (CEO)
(804) 915-4600
Entity
Organization
Contact information
Practice address
7858 SHRADER RD, HENRICO, VA 23294-4222
(804) 560-5595
(804) 560-9029
Mailing address
1115 BOULDERS PKWY STE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 915-4607
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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