Organization
DERJAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK GRIFFIN (OWNER)
(757) 831-3919
Entity
Organization
Contact information
Practice address
550 NORTH BATTLEFIELD, CHESAPEAKE, VA 23320-3544
(757) 831-3919
Mailing address
801 SHADOWBERRY CRST, CHESAPEAKE, VA 23320-3544
(757) 831-3919
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
—
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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