Healthcare Provider Details

I. General information

NPI: 1407477409
Provider Name (Legal Business Name): RAPPAHANNOCK ORTHOPEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2020
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 PARK HILL DR
FREDERICKSBURG VA
22401-3377
US

IV. Provider business mailing address

501 PARK HILL DR
FREDERICKSBURG VA
22401-3377
US

V. Phone/Fax

Practice location:
  • Phone: 540-372-6737
  • Fax: 540-372-3510
Mailing address:
  • Phone: 540-372-6737
  • Fax: 540-372-3510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS HARDING
Title or Position: PRESIDENT/OWNER
Credential: MD
Phone: 540-372-6737