Individual
JB JAMES FAVORITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
604 APPALACHIAN CT, CHESAPEAKE, VA 23320-1620
(843) 231-9865
Mailing address
604 APPALACHIAN CT, CHESAPEAKE, VA 23320-1620
(843) 231-9865
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
2081S0010X
VA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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