Organization
CHIPPENHAM & JOHNSTON WILLIS SPORTS MEDICINE, LLC
Active
Parent organization
CJW MEDICAL CENTER
Other names
CJW Sports Medicine, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CJW MEDICAL CENTER
Authorized official
MR. HUNTER LEE DURVIN ATC (MANAGER)
(804) 560-6511
Entity
Organization
Contact information
Practice address
5309 COMMONWEALTH CENTRE PARKWAY, SUITE 100, MIDLOTHIAN, VA 23112
(804) 560-6500
(804) 560-6505
Mailing address
500 HIOAKS RD, SUITE A, RICHMOND, VA 23225-4061
(804) 560-6500
(804) 560-6505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/19/2007
Last updated
01/29/2008
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