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NPI 1033141502 · live from the CMS NPI Registry

Blue Ridge Orthopaedic Assoc PA

Orthopaedic Surgery, Sports Medicine in Seneca, SC. National Provider Identifier 1033141502, active.

NPI record

NPI1033141502 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery, Sports Medicine 207XX0005X
Practice location10630 Clemson Blvd, Suite 100, Seneca, SC 29678
Practice phone864-482-6000
EnumeratedJuly 7, 2006
Last updatedSeptember 13, 2011
Authorized officialJo Stokes, Administrator
Other namesBlue Ridge Orthopaedics

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery, Sports Medicine primary207XX0005X— (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.