NPI 1376569343 · live from the CMS NPI Registry
Blue Ridge Orthopaedic Assoc, PA
Orthopaedic Surgery, Sports Medicine in Anderson, SC. National Provider Identifier 1376569343, active.
NPI record
| NPI | 1376569343 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 100 Healthy Way, Suite 1200, Anderson, SC 29621 |
| Practice phone | 864-482-6000 |
| Mailing address | 10630 Clemson Blvd, Suite 100, Seneca, SC 29678 |
| Enumerated | July 14, 2006 |
| Last updated | September 13, 2011 |
| Authorized official | Jo Stokes, Administrator |
| Other names | Blue Ridge Orthopaedics |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.