| Organization Name: | VIRGINIA HIGHLANDS ORTHOPAEDIC SPINE CENTER, LLC |
| NPI Number: | 1922159581 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN ALLEN GRUBB (OWNER) |
| Mailing Address: | 215 East Grayson Street Hillsville |
| State: | VA US |
| Postal Code: | 24343 |
| Phone Number: | 2767282500 |
| Fax Number: | |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 0101225439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |