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Organization

ML BAWCOM & ASSOCIATES

Active
Other names
Bawcom Chiropractic Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK LEWIS BAWCOM D.C. (OWNER PRESIDENT)
(757) 490-7911
Entity
Organization

Contact information

Practice address
762 INDEPENDENCE BLVD, SUITE 786, VIRGINIA BEACH, VA 23455-6200
(757) 490-7911
(757) 490-7918
Mailing address
762 INDEPENDENCE BLVD, SUITE 786, VIRGINIA BEACH, VA 23455-6200
(757) 490-7911
(757) 490-7918

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001771
VA

Other

Enumeration date
12/04/2006
Last updated
08/22/2020
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