Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline M Fogarty MD PC

Organization Orthopaedic Surgery Physician · NPI 1043585623

Jacqueline M Fogarty MD PC is an Orthopaedic Surgery Physician in South Boston, Virginia. Licensed in Virginia. Registered with an NPI since 2012.

Licensed in
VA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

409 Oak Ln
South Boston, VA 24592-1633
Phone: (434) 572-8300
Fax: (434) 572-1659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 0101035912 (VA)

Record details

NPI number1043585623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Fogarty — President/Owner · (434) 572-8300
NPI enumeratedMarch 15, 2012
Last updated in NPPESMarch 15, 2012
Mailing address409 Oak Ln, South Boston, VA 24592-1633

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