| Orthovirginia Inc | |
|
9369 Atlee Road Unit 3107 Mechanicsville VA 23116 | |
| () - | |
| Not Available |
| Full Name | Orthovirginia Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9369 Atlee Road Unit 3107, Mechanicsville, Virginia |
| Authorized Official Name and Position | Nicole Proffitt (CREDENTIALING & ENROLLMENT) |
| Authorized Official Contact | 8045332357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthovirginia Inc Po Box 715868 Philadelphia PA 19171-5868 Ph: (180) 491-5191 | Orthovirginia Inc 9369 Atlee Road Unit 3107 Mechanicsville VA 23116 Ph: () - |
| NPI Number | 1871131664 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 06/02/2022 |
| Medicare PECOS PAC ID | 0547157224 |
|---|---|
| Medicare Enrollment ID | O20200310000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871131664 | NPI | - | NPPES |
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