Healthcare Provider Details

I. General information

NPI: 1659456283
Provider Name (Legal Business Name): HOT SPRINGS ORTHOPAEDICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ARH LANE SUITE 201
LOW MOOR VA
24457
US

IV. Provider business mailing address

1 ARH LANE, SUITE 201 PO BOX 235
LOW MOOR VA
24457
US

V. Phone/Fax

Practice location:
  • Phone: 540-863-4444
  • Fax: 540-863-9278
Mailing address:
  • Phone: 540-863-4444
  • Fax: 540-863-9278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101046830
License Number StateVA

VIII. Authorized Official

Name: MRS. MARY C MCCOIG
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 540-862-6849