Organization
SPECIALIZED ORTHOPAEDIC SERVICES
Active
Other names
SPECIALIZED
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES S DAVIS III C.O.F. (BRANCH MANAGER)
(757) 557-0050
Entity
Organization
Contact information
Practice address
4501 N WITCHDUCK RD, SUITE C, VIRGINIA BEACH, VA 23455-6217
(757) 557-0050
(757) 557-0051
Mailing address
4501 N WITCHDUCK RD, SUITE C, VIRGINIA BEACH, VA 23455-6217
(757) 557-0050
(757) 557-0051
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
09/23/2008
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