institution
Blue Ridge Academic Medical Group, Plc
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Blacksburg, Virginia
NPI 1861453078

Blue Ridge Academic Medical Group, Plc is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Blacksburg, VA. Blue Ridge Academic Medical Group, Plc practices in Blacksburg, VA. The NPI Number for Blue Ridge Academic Medical Group, Plc is 1861453078 and holds a License No. 0102201473 (Virginia).

The current practice location address for Blue Ridge Academic Medical Group, Plc is 3700 S Main St, Blacksburg, VA and can be reached out via phone at 540-951-1111. You can also correspond with Blue Ridge Academic Medical Group, Plc through the mailing address at 2265 KRAFT DR, BLACKSBURG, VA - 24060-6360 (mailing address contact number: 540-818-5891).

Location: 3700 S Main St, Blacksburg, VA, 24060-6360
institution
Provider Profile Details
NPI Number
1861453078
Provider Name
Blue Ridge Academic Medical Group, Plc
Credential
Provider Entity Type
Organization
Address
3700 S Main St, Blacksburg, VA, 24060-6360
Phone Number
540-951-1111
Fax Number
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
279560 01 VA ANTHEM
DA5070 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3700 S Main St
City
State
Zip
24060-7017
Phone Number
540-951-1111
Fax Number
person
Provider Business Mailing Address Details
Address
3700 S Main St
City
State
Zip
24060-7017
Phone Number
540-951-1111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
License No.
0102201473 (Virginia)
Definition
Definition to come.
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