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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