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Blue Ridge Dermatology, P.c.
Specialist in Waynesboro, Virginia
NPI 1821030461

Blue Ridge Dermatology, P.c. is a Specialist based in Waynesboro, VA. Blue Ridge Dermatology, P.c. practices in Waynesboro, VA. The NPI Number for Blue Ridge Dermatology, P.c. is 1821030461 and holds a License No. 0101028429 (Virginia).

The current practice location address for Blue Ridge Dermatology, P.c. is 1151 13Th St, Waynesboro, VA and can be reached out via phone at 540-949-6934 and via fax at 540-932-7118.

Location: 1151 13Th St, Waynesboro, VA, 22980-4432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821030461
Provider Name
Blue Ridge Dermatology, P.c.
Credential
Provider Entity Type
Organization
Address
1151 13Th St, Waynesboro, VA, 22980-4432
Phone Number
540-949-6934
Fax Number
540-932-7118
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
111868 01 VA ANTHEM BC/BS
099634 01 VA ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
1151 13Th St
City
Waynesboro
State
Virginia
Zip
22980-4432
Phone Number
540-949-6934
Fax Number
540-932-7118
person
Provider Business Mailing Address Details
Address
1151 13Th St
City
Waynesboro
State
Virginia
Zip
22980-4432
Phone Number
540-949-6934
Fax Number
540-932-7118
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101028429 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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