Organization
PAIN MANAGEMENT & ORTHOPEDIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACEY O PENNINGTON M.D. (PRESIDENT)
(757) 962-2121
Entity
Organization
Contact information
Practice address
733 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1609
(757) 962-2121
(757) 962-1911
Mailing address
733 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320-1609
(757) 962-2121
(757) 962-1911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101034150
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336444397
NPI
VA
Enumeration date
01/21/2011
Last updated
12/08/2021
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