Organization
VIRGINIA BRAIN AND SPINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES B CHADDUCK MD (PARTNER)
(540) 450-0072
Entity
Organization
Contact information
Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Mailing address
1818 AMHERST ST, WINCHESTER, VA 22601-2869
(540) 450-0072
(540) 450-0074
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245490309
—
VA
05
—
3810012551
—
WV
Enumeration date
06/12/2008
Last updated
10/15/2008
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