Organization
ASHLAND-HANOVER PROFESSIONAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M. GRISSOM L.P.N. (OFFICE MANAGER)
(804) 752-7624
Entity
Organization
Contact information
Practice address
257 N WASHINGTON HWY, ASHLAND, VA 23005-1623
(804) 752-7624
(804) 752-7625
Mailing address
257 N WASHINGTON HWY, ASHLAND, VA 23005-1623
(804) 752-7624
(804) 752-7625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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