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Organization

INTERVENTIONAL ORTHOPEDIC & CONCUSSION CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALLISON LEWIS (MEDICAL BILLING MANAGER)
(804) 715-4709
Entity
Organization

Contact information

Practice address
12901 BRIGGS RD, SUITE 201, CHESTER, VA 23831-5335
(804) 821-2140
Mailing address
12901 BRIGGS RD, SUITE 201, CHESTER, VA 23831-5335
(804) 821-2140

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
09/08/2025
Last updated
09/08/2025
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