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BLUE RIDGE DERMATOLOGY, P.C.
NPI 1821030461
Specialist in Waynesboro, VA

Active since June 11, 2006
1151 13TH ST, WAYNESBORO, VA 22980(540) 949-6934(540) 932-7118 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Ridge Dermatology, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE RIDGE DERMATOLOGY, P.C. (NPI 1821030461) is a healthcare organization registered as a specialist in Waynesboro, Virginia and active in the NPI registry since June 2006. The organization lists Tomita Lawrence, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1821030461
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBLUE RIDGE DERMATOLOGY, P.C.
Location Address1151 13TH STWaynesboro, VA 22980-4432
Mailing Address1151 13th StWaynesboro, VA 22980-4432 · (540) 949-6934 · Fax (540) 932-7118
Phone(540) 949-6934
Fax(540) 932-7118
Organization SubpartNo
Authorized OfficialTomita LawrencePractice Manager · (540) 949-5470
Enumeration DateJune 11, 2006
Last NPPES UpdateAugust 10, 2015
✔ NPI 1821030461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101028429
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1151 13TH ST, Waynesboro, VA 22980
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Other Identifiers 4

Medicare PINC14906
Medicare PINC02427
Other099634VA · Anthem Bc/bs
Other111868VA · Anthem Bc/bs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Ridge Dermatology, P.C.'s NPI number?

The NPI number for Blue Ridge Dermatology, P.C. is 1821030461. It was assigned to this organization in the NPPES registry on June 11, 2006.

Where is Blue Ridge Dermatology, P.C. located?

Blue Ridge Dermatology, P.C. is located at 1151 13th St, Waynesboro, VA 22980. The listed phone number is (540) 949-6934.

What is Blue Ridge Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Blue Ridge Dermatology, P.C. was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.