Organization
NOTTOWAY INNOVATIVE MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUDEL CHINNERY (PRESIDENT)
(703) 930-0046
Entity
Organization
Contact information
Practice address
1279 W 10TH ST STE 116, BLACKSTONE, VA 23824-3071
(703) 930-0046
Mailing address
1279 W 10TH ST STE 116, BLACKSTONE, VA 23824-3071
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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