Organization
CHESTNUT CREEK ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization
CHESTNUT CREEK ORTHOPEDICS AND SPORTS MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK THOMAS SPROUL M.D. (OWNER)
(276) 238-0990
Entity
Organization
Contact information
Practice address
101 DOCTORS PARK, GALAX, VA 24333-2277
(276) 238-0990
(276) 238-1081
Mailing address
101 DOCTORS PARK, GALAX, VA 24333-2277
(276) 238-0990
(276) 238-1081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101254866
VA
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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