Provider Demographics
NPI:1538179791
Name:ROCKBRIDGE SURGICAL CLINIC L.L.C.
Entity type:Organization
Organization Name:ROCKBRIDGE SURGICAL CLINIC L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANGER/R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:SEDOVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-463-7108
Mailing Address - Street 1:100 SPOTTSWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24450-2454
Mailing Address - Country:US
Mailing Address - Phone:540-463-7108
Mailing Address - Fax:540-462-2923
Practice Address - Street 1:100 SPOTTSWOOD DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2454
Practice Address - Country:US
Practice Address - Phone:540-463-7108
Practice Address - Fax:540-462-2923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty