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Organization
FAMILY CHIROPRACTIC OF HAMPTON ROADS, PLLC
Active
Organization
FAMILY CHIROPRACTIC OF HAMPTON ROADS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN CHARLES JACKSON D.C. (OWNER/PHYSICIAN)
(757) 351-3778
Entity
Organization
Contact information
Practice address
1920 CENTERVILLE TPKE, SUITE 95, VIRGINIA BEACH, VA 23464-6800
(757) 351-3778
(757) 479-8855
Mailing address
1920 CENTERVILLE TPKE, SUITE 95, VIRGINIA BEACH, VA 23464-6800
(757) 351-3778
(757) 479-8855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556741
VA
Other
Enumeration date
11/30/2009
Last updated
02/25/2010
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