Organization
FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ANN LEMON JR. (OFFICE ADMIN)
(804) 758-1800
Entity
Organization
Contact information
Practice address
498 GLOUCESTER RD, SALUDA, VA 23149-2590
(804) 758-1800
(804) 758-1803
Mailing address
498 GLOUCESTER RD, SALUDA, VA 23149-2590
(804) 758-1800
(804) 758-1803
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104555799
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383 192
ANTHEM BLUE CROSS BLUE SH
VA
Enumeration date
11/07/2006
Last updated
08/22/2020
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