Organization
VIRGINIA INNOVATIVE PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEAYE WAKEFIELD (OFFICE MANAGER)
(804) 661-8616
Entity
Organization
Contact information
Practice address
2532 MILL RD, POWHATAN, VA 23139-5203
(804) 335-0802
(804) 335-0802
Mailing address
2532 MILL RD, POWHATAN, VA 23139-5203
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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