Blue Ridge Surgical Associates PC
Organization Active NPI Surgery Physician · Galax, VA
NPI 1184728248 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1184728248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- BLUE RIDGE SURGICAL ASSOCIATES PC
- Practice address
- 225 Hospital Dr
Galax, VA 24333-2228 - Phone
- (276) 236-6906
- Fax
- (276) 236-7179
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- William Wade Peery, MD
- Title
- President
- Phone
- (276) 236-6906
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
225 Hospital Dr
Galax, VA 24333-2228
Mailing address
225 Hospital Dr
Galax, VA 24333-2228
Phone (276) 236-6906
Other providers in Galax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.