Organization
CH SPECIALTY SERVICES VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (SR VP OF ADMINISTRATIVE SERVICES)
(337) 408-0797
Entity
Organization
Contact information
Practice address
10900 NUCKOLS RD STE 110, GLEN ALLEN, VA 23060-9246
(337) 408-0797
Mailing address
5750 JOHNSTON ST STE 205, LAFAYETTE, LA 70503-5345
(337) 408-0797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
03/21/2025
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