Organization
ORTHOVIRGINIA, INC
Active
Other names
Advanced Orthopaedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE PROFFITT (CREDENTIALING/ENROLLMENT)
(804) 533-2357
Entity
Organization
Contact information
Practice address
13801 ST. FRANCIS BLVD, SUITE 200, MIDLOTHIAN, VA 23113
(804) 270-1305
(804) 273-9294
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
06/06/2022
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