Accomack County, Virginia is located in the Blue Ridge Health District. It has 720.5 square miles of land area and is the 6th largest county in Virginia by total area. It is bordered by Nelson, Fluvanna, Greene, Charlottesville City, Louisa, Orange, Augusta, Buckingham, and Rockingham Counties. There are 29 census tracts in the county. The county FIPS number is 51003.

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