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COLONIAL ORTHOPAEDICS INC

Physicians Orthopaedic Surgery

Provider NPI: 1811311343

Organization Information:
Organization Name:  COLONIAL ORTHOPAEDICS INC
Organization is not Subpart
Authorized Official:  JENNIFER  BAILEY  CREDENTIALING SPECIALIST  804-571-5106

Practice Location:
325 CHARLES DIMMOCK PARKWAY SUITE 301 COLONIAL HEIGHTS, VA 23834 US
Tel: 804-526-5888  Fax: 804-526-5401

Business Mailing Address:
325 CHARLES H DIMMOCK PKWY STE 100  COLONIAL HEIGHTS, VA 23834-2986 US
Tel: 804-571-5106  Fax: 804-530-3015

NPI Information:
NPI: 1811311343
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207X00000XPhysicians
Orthopaedic Surgery
VA0101036726
N207XS0106XPhysicians
Orthopaedic Surgery
VA0101226595
N207XS0114XPhysicians
Orthopaedic Surgery
VA0101231604
N207XS0117XPhysicians
Orthopaedic Surgery
VA0101237849
N207XX0004XPhysicians
Orthopaedic Surgery
VA0101045456
N207XX0005XPhysicians
Orthopaedic Surgery
VA0101052925
N208100000XPhysicians
Physical Medicine & Rehabilitation
VA0101222130
N2081P2900XPhysicians
Physical Medicine & Rehabilitation
VA0101235833
N208VP0014XPhysicians
Pain Medicine
VA0101224513
N213E00000XPodiatric Medicine & Surgery Service Providers
Podiatrist
VA0103000995
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305005628
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
VA2306601247
N225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
VA0119000261
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
VA0110003073
Y207X00000XPhysicians
Orthopaedic Surgery
VA0101034297

Other Provider Identifiers:

IssuerNumberStateType
1811311343VA05



American Medical Association 2012 taxonomy code information

Code: 207X00000X

Type:

Classification:



Definition:



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