Organization
ASSURE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DEAN CANNON PHD, PA-C (MANAGING DIRECTOR)
(866) 551-6779
Entity
Organization
Contact information
Practice address
1157 S MILITARY HWY, SUITE 102, CHESAPEAKE, VA 23320-2352
(866) 551-6779
(877) 404-1411
Mailing address
1157 S MILITARY HWY, SUITE 102, CHESAPEAKE, VA 23320-2352
(866) 551-6779
(877) 404-1411
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
0101254631
VA
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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