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Organization
VETERAN MEDICAL SPECIALISTS
Active
Organization
VETERAN MEDICAL SPECIALISTS
Active
Other names
VMS
Organization subpart
No
Provider details
NPI number
Authorized official
DERRYL NOWAK (COO)
(585) 472-3018
Entity
Organization
Contact information
Practice address
139 BENEFIT ST, PAWTUCKET, RI 02861-1024
(401) 206-0715
(401) 204-1123
Mailing address
8204 LISA LN, SMYRNA, TN 37167-3364
(401) 206-0715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
171400000X
Health & Wellness Coach
—
NULL
171400000X
Health & Wellness Coach
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
251E00000X
Home Health Agency
—
NULL
261Q00000X
Clinic/Center
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QV0200X
VA Clinic/Center
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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