NPI | 1457308827 |
---|---|
Former Legal Business Name | TRIANGLE ORTHOPAEDIC ASSOCIATES, PA |
Former Legal Business Name | BLUE RIDGE BONE & JOINT CLINIC, PA |
Entity Type | Organization |
Authorized Contact | THOMAS ALVA DIMMIG President 919-220-5255 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NC 38818) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2021-11-23 |