Organization
BLUE RIDGE ORTHOPAEDICS AND SPORTS MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM E. REFVEM MD (PRESIDENT)
(336) 719-0011
Entity
Organization
Contact information
Practice address
708 S SOUTH ST, MOUNT AIRY, NC 27030-4426
(336) 719-0011
(336) 719-0381
Mailing address
PO BOX 472, MOUNT AIRY, NC 27030-0472
(336) 719-0011
(336) 719-0381
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9600298
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012NM
—
NC
Enumeration date
04/20/2006
Last updated
02/20/2008
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