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Individual

DR. LINDA ANN BLACKMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5641
(434) 822-2222
(434) 822-2101
Mailing address
5000 RIVERSIDE DR, SUITE C, DANVILLE, VA 24541-5641
(434) 822-2222
(434) 822-2101

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001140
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134162
GATEWAY
VA
01
216628
ANTHEM
VA
01
288977
MAMSI
VA
01
350053242
MEDICARE RAILROAD
VA
Enumeration date
04/19/2007
Last updated
03/18/2011
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