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Contact Information

CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC
3501 FESTIVAL PARK PLAZA
CHESTER, VA23831
 Phone: 804-560-6500
 Fax: 804-560-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC

NPI # 1477731925
LBN Legal business name CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC
Authorized official HUNTER DURVIN - (MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/07/2008
Last updated 02/07/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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